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jing 2 bei gen shen jing jie she pin zhi liao jing yuan xing tou tong liao xiao ji ying xiang yin su fen xi
Author(s): 
Pages: 65-68
Year: Issue:  1
Journal: Chinese Journal of Pain Medicine

Abstract: 颈源性头痛 (cervicogenic headache, CEH) 是由颈部的肌肉、韧带、神经、椎间盘、骨骼和血管等结构病变引起的继发性头面部疼痛,通常伴有颈部疼痛 [1,2].CEH的治疗通常采用药物治疗、手法治疗、神经阻滞、射频治疗等 [3].许多传统的镇痛药物如非甾体消炎镇痛药在治疗CEH时到达靶点的有效成分较少,疗效欠佳.手法治疗与神经阻滞治疗后普遍存在症状缓解不持久或疗效差等问题.根据颈部解剖可知,颈2背根神经节支配区域基本可覆盖CEH范围,且与肌肉、韧带和血管等结构位置紧密 [4],故目前临床上常对颈2背根神经节行脉冲射频 (pulsed radiofrequency, PRF) 治疗CEH [5].既往研究表明 [6],颈2背根神经节行PRF术可取得良好效果,但关于影响术后疗效的因素尚无全面讨论.本研究回顾性分析山西白求恩医院疼痛科60例CT引导下行颈2 背根神经节PRF 治疗CEH 病人的临床资料,分析该手术的疗效及其影响因素.
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