关键词: Facetogenic pain High-intensity focused ultrasound Thermal ablation

Mesh : Animals Chronic Pain / surgery Feasibility Studies Female High-Intensity Focused Ultrasound Ablation / adverse effects methods Male Neuralgia / surgery Neurosurgical Procedures / methods Proof of Concept Study Surgery, Computer-Assisted Swine X-Rays Zygapophyseal Joint / innervation surgery

来  源:   DOI:10.1016/j.ultrasmedbio.2020.10.019   PDF(Sci-hub)

Abstract:
Four to six million patients a year in the United States suffer from chronic pain caused by facet joint degeneration. Thermal ablation of the affected facet joint\'s sensory nerve using radiofrequency electrodes is the therapeutic standard of care. High-intensity focused ultrasound (HIFU) is a novel technology enabling image-guided non-invasive thermal ablation of tissue. Six pigs underwent fluoroscopy-guided HIFU of the medial branch nerve and were followed up for 1 wk (two pigs), 1 mo (two pigs) and 3 mo (two pigs). At the end of each follow-up period, the animals were sacrificed, and targeted tissue was excised and evaluated with computed tomography scans as well as by macro- and micropathology. No significant adverse events were recorded during the procedure or follow-up period. All targets were successfully ablated. X-Ray-guided HIFU is a feasible and promising alternative to radiofrequency ablation of the lumbar facet joint sensory nerve.
摘要:
暂无翻译
公众号