CT-guided dorsal root ganglion pulsed radiofrequency combined with continuous radiofrequency for thoracic postherpetic neuralgia:Efficacy and safety
10.13929/j.issn.1672-8475.2025.04.004
- VernacularTitle:CT引导下背根神经节脉冲射频联合连续射频治疗胸段带状疱疹后神经痛:有效性与安全性
- Author:
Limei CHU
1
;
Tao WANG
;
Jingjing YUAN
Author Information
1. 河南中医药大学第五临床医学院(郑州人民医院)麻醉科,河南郑州 450003
- Publication Type:Journal Article
- Keywords:
neuralgia,postherpetic;
ganglia,spinal;
radiofrequency ablation;
tomography,X-ray computed
- From:
Chinese Journal of Interventional Imaging and Therapy
2025;22(4):247-250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy and safety of CT-guided pulsed radiofrequency combined with continuous radiofrequency treatment for thoracic postherpetic neuralgia(PHN).Methods A total of 110 patients with thoracic PHN were retrospectively enrolled and divided into observation group(pulsed radiofrequency combined with continuous radiofrequency treatment)and control group(pulsed radiofrequency treatment)(each n=55).The visual analogue scale(VAS)pain scores before and 1 day,7 days,1 month and 3 months after treatment,also the treatment effective rate and incidence of adverse reactions were compared between groups.Results No significant difference of VAS pain scores was found between groups before treatment(P=0.818),while 1 day,7 days,1 month and 3 months after treatment,observation group had lower VAS pain scores than control group(all P<0.001).The treatment effective rate in observation group was higher than that in control group(98.18%[54/55]vs.85.45%[47/55],P=0.025),while the incidence of adverse reactions in observation group was lower than that in control group(1.82%[1/55]vs.12.73%[7/55],P=0.028).Conclusion CT-guided pulsed radiofrequency combined with continuous radiofrequency could effectively reduce pain degree of thoracic PHN and adverse reactions.