骨内椎基神经射频消融术治疗症状性Modic改变的研究进展
Progress of intraosseous basivertebral nerve ablation for symptomatic Modic alterations
廖贵 1蒙玉民 2邹专 1肖开振 1黄光瑜 1顾容赫1
作者信息
- 1. 南宁市第一人民医院骨科,广西 南宁 530000
- 2. 广西医科大学第一附属医院心血管内科,广西 南宁 530021
- 折叠
摘要
退变椎体终板引起的慢性腰背部疼痛一直困扰着广大患者与临床工作者,骨内椎基神经射频消融术是一种新的脊柱微创治疗手段,其通过对退变椎体终板进行射频消融术,使相应椎体椎基神经发生变性,阻断椎基神经的伤害性信号传导,从而减轻由退化椎体终板引起的腰痛症状.目前国外已有骨内椎基神经射频消融术的手术原理、手术方式、临床疗效及相关并发症较多报道.本文的主要目的是对目前已有的相关研究进行综合分析,为后续的临床研究提供参考依据.
Abstract
Chronic lumbar and back pain caused by degenerative vertebral endplates presents a challenging issue for pa-tients and clinicians.As a new minimally invasive spinal treatment method,radiofrequency ablation of vertebral basal nerve in bone can denature the corresponding vertebral basal nerve through radiofrequency ablation of degenerative vertebral endplate.It blocks the nociceptive signal transmission of the vertebral base nerve,thereby alleviating the symptoms of low back pain caused by the degenerative vertebral endplate.At present,many foreign articles have reported the operation principle,opera-tion method,clinical efficacy and related complications of radiofrequency ablation of the vertebral basal nerve.The main pur-pose of this paper is to conduct a comprehensive analysis of the current relevant research,and provide a reference for the follow-up clinical research.
关键词
骨内椎基神经射频消融术/慢性腰痛/椎体退变/Modic改变Key words
Intraosseous basivertebral nerve ablation(IBVNA)/Chronic low back pain/Vertebral degeneration/Modic Change引用本文复制引用
基金项目
吴阶平医学基金会项目(320.6750.20020-06-60)
出版年
2024