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[Selective percutaneous dorsal root ganglion radiofrequency thermocoagulation guided by CT scanning in treatment of post-herpetic neuralgia].
- Source :
-
Zhonghua yi xue za zhi [Zhonghua Yi Xue Za Zhi] 2008 Apr 01; Vol. 88 (13), pp. 885-8. - Publication Year :
- 2008
-
Abstract
- Objective: To present the experience in a technique used to treat intractable postherpetic neuralgia (PHN)-percutaneous dorsal root ganglion (DGR) radiofrequency thermocoagulation guided by CT scanning.<br />Methods: Sixteen PHN patients underwent puncture of radiohealing needle into the superior 1/3 of the corresponding intervertebral foramen guided by CT. Electric stimulation test and impedance test were conducted to confirm the right spot. Radiofrequency heat coagulation therapy under the condition of 90 degrees C 90 s was performed for 3 cycles. Then mixture of betamethasone and lidocain was injected and the needle was pulled out. CT was conducted to observe if pneumothorax occurred. The patients were followed up for 2-16 months.<br />Results: Radiofrequency thermocoagulation was performed on 45 target dorsal root ganglia in 16 PHN patients with the effect of immediate disappearance of hyperalgesia. Remaining spontaneous pain was seen in 5 cases, however, with decreases of attack frequency and severity. The visual analogue pain scale score was decreased from 7-9 before the procedure to 2-3 after the procedure. No relapse was found during the follow-up.<br />Conclusion: Selective percutaneous DRG radiofrequency thermocoagulation guided by CT scanning is effective in treatment of PHN.
- Subjects :
- Aged, 80 and over
Catheter Ablation methods
Electric Stimulation
Follow-Up Studies
Humans
Male
Pain Measurement
Radio Waves
Spinal Nerve Roots diagnostic imaging
Spinal Nerve Roots surgery
Treatment Outcome
Electrocoagulation methods
Neuralgia, Postherpetic diagnostic imaging
Neuralgia, Postherpetic surgery
Tomography, X-Ray Computed methods
Subjects
Details
- Language :
- Chinese
- ISSN :
- 0376-2491
- Volume :
- 88
- Issue :
- 13
- Database :
- MEDLINE
- Journal :
- Zhonghua yi xue za zhi
- Publication Type :
- Academic Journal
- Accession number :
- 18756952