重庆医学Issue(9):1186-1188,3.DOI:10.3969/j.issn.1671-8348.2015.09.011
正交设计下膝关节外周神经射频消融治疗膝关节骨关节炎
Orthogonal design the knee peripheral nerve radiofrequency ablation treatment of knee osteoarthritis
摘要
Abstract
Objective Explore a new treatment by orthogonal design of no empty cases :treatment of knee osteoarthritis by nerve locator ,for knee joint peripheral nerve branch implement selective radio frequency ablation .Methods According to patients′age ,body mass index ,gender ,organs ,in the course of the disease ,preoperative VAS score ,first divided into nine groups ,each group of four people ,then randomly assigned to four groups and each group 9 cases ,a total of 36 people .With nerve locator ,design of 4 factors and 3 levels ,no empty cases of orthogonal design ,every time 9 people by radio frequency ablation treatment of knee joint pe-ripheral nerve .Repeat 4 times to reduce the sampling error ,obtain the VAS difference between postoperative 1 week and preopera-tive .Results The best combination of treat knee joint osteoarthritis by Radio frequency ablation was A3B3C(1-3)D(1-3) .Selective radio frequency ablation knee peripheral nerve branch target rf temperature is 90 ℃ ,120 seconds ,lidocaine concentration(0 .5% to 2% ) and lidocaine measurement (0 .5 to 1 .5 mL) .Conclusion Using the orthogonal design of no empty cases ,for knee joint pe-ripheral nerve branch for selective radio frequency ablation by nerve locator .Treatment of knee joint osteoarthritis in A3B3C(1-3) D (1-3) combination effect exact ,minimally invasive ,safe ,accurate location ,the treatment effect is good ,low cost ,simple and high ef-ficiency .关键词
膝关节/骨关节炎/射频消融术/神经定位仪/正交设计Key words
knee joint/osteoarthritis/radio frequency ablation/nerve locator/orthogonal design分类
医药卫生引用本文复制引用
肖林,王娴默,熊昌源,李彦林,徐澄,张忠贵..正交设计下膝关节外周神经射频消融治疗膝关节骨关节炎[J].重庆医学,2015,(9):1186-1188,3.基金项目
国家自然科学基金资助项目(30860286)。 ()