Clinical Effect of CT-guided Radiofrequency Thermocoagulation of Lum-bar Sympathetic Ganglion in Treatment of Type Ⅱ Complex Regional Pain Syndrome
Objective To explore the clinical effect of CT-guided radiofrequency thermocoagulation of lumbar sympa-thetic ganglion in the treatment of type Ⅱ complex regional pain syndrome.Methods 68 patients with type Ⅱ com-plex regional pain syndrome admitted to Jinhu County People's Hospital from June 2020 to June 2023 were conve-niently selected as the study objects.The patients were divided into control group and observation group by red and blue ball method,34 cases in each group.The control group was treated with ultrasound-guided low back sympathetic nerve block,and the observation group was treated with CT-guided low back sympathetic ganglion radiofrequency thermocoagulation.Hemorheology indexes,pain degree,complications and effective rate were compared between the two groups after treatment.Results The hemorheology indexes in control group were higher than those in observation group(all P<0.05).The Numeric Rating Scale(NRS)scores of the observation group at 3,7 and 14 d after treatment were lower than those of the control group,and the differences were statistically significant(all P<0.05).The total inci-dence of complications in the observation group(5.88%)was lower than that in the control group(23.53%),and the difference was statistically significant(χ2=4.221,P<0.05).The total treatment efficiency of observation group(94.12%)was higher than that of control group(76.47%),and the difference was statistically significant(χ2=4.221,P<0.05).Conclusion CT-guided radiofrequency thermocoagulation of lumbar sympathetic ganglion for patients with typeⅡ complex regional pain syndrome is helpful to improve hemorheology index,reduce pain degree and have higher safety.