Bel ağrısında pulsed ve konvansiyonel radyofrekans termokoagulasyon uygulamaları

Year 2019, Volume: 44 Issue: 3, 1027 - 1032, 30.09.2019

Zehra Hatipoğlu , Hayri Tevfik Özbek

https://doi.org/10.17826/cumj.465286

Abstract

Amaç: Günümüzde bel ağrısı önemli bir sağlık sorunudur. Radyofrekans (RF) tedavisi, hedeflenen dokuya enerji transferi ile farklı sıcaklık seviyeleri üretir ve bel ağrısına sahip hastalarda etkin bir tedavi yöntemi olabilir. Bu çalışmada, lumbar bel ağrısına sahip hastalarda arka kök ganglionuna uygulanan pulsed ve konvansiyonel radyofrekansın etkilerinin karşılaştırılması amaçlandı.

Gereç ve Yöntem: Bu çalışma için üç aydan daha uzun süre bel ağrısına sahip 30 hasta kabul edildi, pulsed (42 0C, 240 s) (n=15) ve konvansiyonel (65 0C, 120 s) (n=15) radyofrekans uygulandı. Hastaların işlem öncesi ve işlem sonrası 1 ve 3. aylarda ağrıları Visual Analog Skala (VAS) ve fonksiyonel aktiviteleri modifiye Oswestry Disability İndeks (ODİ) ile değerlendirildi. Nörolojik muayeneleri kaydedildi.

Bulgular: Her iki grupta VAS ve modifiye ODİ değerleri 1. ve 3. aylarda işlem öncesine göre istatistiki olarak anlamlı derecede düşüktü. Ancak iki grup arasında istatiksel farklılık bulunmadı. Motor, sensoryal ve refleks kaybı değerlendirdiğimiz nörolojik muayenede gruplar arasında fark yoktu.

Sonuç: Bel ağrısına sahip hastalarda uygulanan pulsed ve konvansiyonel radyofrekans yöntemleri benzer etkilere sahipti. Daha yüksek dereceler avantaj sağlamamaktadır. Olası yan etkilerden kaçınmak için dorsal kök ganglionuna uygulanan pulsed radyofrekans güvenli ve etkin bir yöntemdir.

Keywords

Low back pain, pulsed radiofrequency treatments

Pulsed and conventional radiofrequency thermocoagulation applications on low back pain

Abstract

Purpose: Nowadays, low back pain (LBP) is an important health problem. Radiofrequency (RF) treatments can generate different temperature levels by transferring energy to the targeted tissue, and which is an effective interventional treatment method for LBP patients. In this study, we compared the effects of pulsed and conventional RF treatments on patients with LBP.

Materials and Methods: Thirty patients with LBP histories for longer than three months received pulsed (42 0C, 240 s) (n=15) and conventional (65 0C, 120 s) (n=15) RF treatments. The baseline and one and three months after the procedure, the patients’ pain and disability values were obtained using a Visual Analogue Scale (VAS) and the modified Oswestry Disability Index (ODI), respectively. The results of the patients’ neurological examinations were also recorded. 

Results: The VAS and modified ODI values were reduced in both groups one and three months after the RF treatments when compared to the baseline values . However, no statistically significant differences were found between the two groups. In addition, there were no statistically significant differences between the two groups in terms of the neurological examination results involving motor, sensorial, and reflex losses. 

Conclusion: The pulsed and conventional RF treatments exhibited similar effects in the LBP patients. Therefore, higher temperatures do not provide an advantage. Pulsed RF treatment applied to the dorsal root ganglion is a safe and effective way to avoid possible side effects.

Keywords

: Low back pain, pulsed radiofrequency treatments, dorsal root ganglion

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