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膝周神经射频热凝治疗顽固性膝骨关节炎疼痛的临床效果
引用本文:杨国强 张靳 廖伟 周强 谢肇 吴雪晖. 膝周神经射频热凝治疗顽固性膝骨关节炎疼痛的临床效果[J]. 现代生物医学进展, 2015, 15(32): 6272-6274
作者姓名:杨国强 张靳 廖伟 周强 谢肇 吴雪晖
作者单位:重庆市公共卫生医疗救治中心普外与骨科;重庆市儿童福利院;重庆市西南医院骨科
基金项目:国家自然科学基金项目(30972894)
摘    要:
目的:探讨膝周神经射频热凝治疗顽固性膝骨关节炎疼痛的疗效。方法:收集2013年1月至2014年1月,我院收治的顽固性膝骨关节炎疼痛患者62例,随机分为观察组与对照组,各31例。观察组予以膝周神经射频热凝联合关节腔内注射玻璃酸钠治疗,对照组单纯行关节腔内玻璃酸钠注射治疗,比较两组的临床疗效。结果:观察组治疗后VAS评分及OKS评分均显著低于对照组(P0.05);两组均未见明显并发症。结论:膝周神经射频热凝辅助治疗顽固性膝关节炎疼痛疗效显著,创伤较小,可促进关节功能的康复,值得推广应用。

关 键 词:膝骨关节炎;膝周神经射频热凝;临床疗效

Clinical Effects of Genicular Nerve Radiofrequency Ablation for theTreatment of Intractable Knee Osteoarthritic Pain
Abstract:
Objective:To investigate the effects of genicular nerve radiofrequency ablation for the treatment of intractable kneeosteoarthritic pain.Methods:62 cases of patients with intractable knee osteoarthritic pain in our hospital between January 2013 andJanuary 2014 were collected and randomly divided into observation group and control group, 31 cases in each group. The observationgroup received genicular nerve radiofrequency ablation combined intra-articular injection of sodium hyaluronate for treatment, thecontrol group received intra-articular injection of sodium hyaluronate for treatment, the clinical efficacy of two groups were compared.Results:After treatment, the VAS score and OKS score in observation group were significantly lower than the control group (P <0.05);groups were no significant complications.Conclusion:Genicular nerve radiofrequency ablation for the treatment of intractable kneeosteoarthritic pain has a significant effect and less trauma, can promote the rehabilitation of joint function, it should be widely applied.
Keywords:Knee osteoarthritis   Genicular nerve radiofrequency ablation   Clinical efficacy
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