Abstract：
BACKGROUND: Chronic hip pain is one of the most common and difficult-to-treat causes of disability. Our study\'s primary aim was to investigate the effects of ultrasound and fluoroscopy-guided radiofrequency thermocoagulation of the femoral and obturator nerve articular branches on chronic hip pain, and the secondary aim was to determine its effects on hip function and quality of life.
METHODS: Fifty-three patients with hip pain lasting more than three months were enrolled in the study. VPS scale and WOMAC, SF-12 questionnaires were applied to the patients before and in the first, third, and sixth months following the procedure.
RESULTS: Of the patients, 60.4% were female, and 39.6% were male. Hip pain was caused by osteoarthritis in 77.1%, postoperative hip pain in 12.5%, malignancy in 8.3%, and avascular necrosis in 2.1%. The VPS scores were 8.9 ± 1.1 (mean±SD) in the baseline period, 2.4 ± 2.5 in the first postoperative week, 3.8 ± 2.5 in the first month, 5.1 ± 2.8 in the third month, and 5.8 ± 2.7 in the sixth month, with a significant decrease in VPS score (P < .001). One patient developed a motor deficit that improved spontaneously.
CONCLUSIONS: We concluded that radiofrequency thermocoagulation application to the articular branches of the femoral and obturator nerves provides pain relief, hip function improvement, and better quality of life (better physical component scores but no improvement in mental component scores in SF-12) for up to 6 months in chronic hip pain.
METHODS: Fifty-three patients with hip pain lasting more than three months were enrolled in the study. VPS scale and WOMAC, SF-12 questionnaires were applied to the patients before and in the first, third, and sixth months following the procedure.
RESULTS: Of the patients, 60.4% were female, and 39.6% were male. Hip pain was caused by osteoarthritis in 77.1%, postoperative hip pain in 12.5%, malignancy in 8.3%, and avascular necrosis in 2.1%. The VPS scores were 8.9 ± 1.1 (mean±SD) in the baseline period, 2.4 ± 2.5 in the first postoperative week, 3.8 ± 2.5 in the first month, 5.1 ± 2.8 in the third month, and 5.8 ± 2.7 in the sixth month, with a significant decrease in VPS score (P < .001). One patient developed a motor deficit that improved spontaneously.
CONCLUSIONS: We concluded that radiofrequency thermocoagulation application to the articular branches of the femoral and obturator nerves provides pain relief, hip function improvement, and better quality of life (better physical component scores but no improvement in mental component scores in SF-12) for up to 6 months in chronic hip pain.
摘要：
背景：慢性髋部疼痛是最常见且难以治疗的残疾原因之一。本研究的主要目的是探讨超声和透视引导下射频热凝股和闭孔神经关节分支对慢性髋关节疼痛的影响。次要目的是确定其对髋关节功能和生活质量的影响。
方法：53例持续超过3个月的髋部疼痛患者被纳入研究。VPS量表和WOMAC，SF-12问卷应用于患者之前和第一次，第三,手术后的第六个月。
结果：在患者中，60.4%是女性，男性占39.6%。髋部疼痛是由骨关节炎引起的77.1%,术后髋部疼痛12.5%,恶性肿瘤占8.3%，缺血性坏死占2.1%。基线期间VPS评分为8.9±1.1(平均值±SD),术后第一周2.4±2.5，第一个月3.8±2.5，第3个月5.1±2.8,第六个月为5.8±2.7，VPS评分显着降低（p<0.001）。一名患者出现了自发改善的运动缺陷。
结论：我们得出结论，射频热凝术应用于股骨和闭孔神经的关节分支可以缓解疼痛，髋关节功能改善，和更好的生活质量（更好的身体成分评分，但在SF-12精神成分评分没有改善）在慢性髋关节疼痛长达6个月。
方法：53例持续超过3个月的髋部疼痛患者被纳入研究。VPS量表和WOMAC，SF-12问卷应用于患者之前和第一次，第三,手术后的第六个月。
结果：在患者中，60.4%是女性，男性占39.6%。髋部疼痛是由骨关节炎引起的77.1%,术后髋部疼痛12.5%,恶性肿瘤占8.3%，缺血性坏死占2.1%。基线期间VPS评分为8.9±1.1(平均值±SD),术后第一周2.4±2.5，第一个月3.8±2.5，第3个月5.1±2.8,第六个月为5.8±2.7，VPS评分显着降低（p<0.001）。一名患者出现了自发改善的运动缺陷。
结论：我们得出结论，射频热凝术应用于股骨和闭孔神经的关节分支可以缓解疼痛，髋关节功能改善，和更好的生活质量（更好的身体成分评分，但在SF-12精神成分评分没有改善）在慢性髋关节疼痛长达6个月。
