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脉冲射频治疗慢性疼痛进展 被引量：14

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摘要 脉冲射频(pulsed radiofrequency,PRF)是利用间断发出的脉冲式电流在组织周围形成高电压,并转化为热能;脉冲射频从微观上对神经元的突触活性、细胞因子等有一定的影响,而这与其在疼痛治疗中的作用有关。脉冲射频治疗技术具有创伤小、操作便捷、安全性高、效果好等特点,目前在临床上广泛应用于慢性疼痛的治疗,如椎间盘退行性病变引起的疼痛、带状疱疹后神经痛、颈源性头痛、三叉神经痛等。本文就这一领域的最新进展总结如下。
作者 何明伟 倪家骧
机构地区 首都医科大学宣武医院疼痛科
出处 《颈腰痛杂志》 2007年第6期519-521,共3页 The Journal of Cervicodynia and Lumbodynia
关键词 脉冲射频 慢性疼痛 治疗
分类号 R745.11 [医药卫生—神经病学与精神病学]
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参考文献23

  • 1Sluijter ME.Non-thermal radiofrequency procedures in the treatment spinal pain[C].Pain in Europe;2nd Annual Congress of the European federation of IASP Chapters,Barcelona,1997.326.
  • 2Ahadian FM:Pulsed radiofrequency neurotomy:Advances in pain medicine[J].Curr Pain Headache Rep,2004,8:34-40.
  • 3Higuchi Y,Nashold BS,Sluijter ME,et al.Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina Ⅰ and Ⅱ neurons[J].Neurosurgery,2002,50:850-856.
  • 4Van Zundert,Jan M:Pulsed and continous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn[J].Anesthesiology,2005,102(1):125-131.
  • 5Podhajsky RJ,Sekiguchi Y,Kikuchi S,et al.The histologic effects of pulsed and continuous radiofrequency lesions at 42 degrees C to rat dorsal root ganglion and sciatic nerve[J].Spine,2005,30(9):1008-1013.
  • 6Erdine S,Yucel A,Cimen A,et al.Effects of pulsed versus conventional radiofrequency current on rabbit dorsal root ganglion morphology[J].Eur J Pain,2005,9(3):251-256.
  • 7Hamann W,Abou-Sherif S,Thompson S,et al.Pulsed radiofrequency applied to dorsal root ganglia causes a selective increase in ATF3 in small neurons[J].Eur J Pain.2006,10(2):171-176.
  • 8Cohen SP,Sireci A,Wu CL,et al.Pulsed radiofrequency of the dorsal root ganglia is superior to pharmacotherapy or pulsed radiofrequency of the intercostal nerves in the treatment of chronic postsurgical thoracic pain[J].Pain Physician,2006,9(3):227-235.
  • 9Cahana A,Vutskits L,Muller D:Acute differential modulation of synaptic transmission and cell survival during exposure to pulsed and continuous radiofrequency energy[J].J Pain,2003,4 (4):197-202.
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同被引文献122

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颈腰痛杂志
2007年 第6期

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