低温等离子消融术治疗老年带状疱疹后遗神经痛的效果及安全性

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Abstract Objective To compare the clinical efficacy of radiofrequency nerve thermocoagulation and low temperature plasma ablation and to investigate the efficacy and safety of low temperature plasma ablation in treating elderly postherpetic neuralgia. Methods From May 2014 to May 2017, clinical data of 40 elderly patients with postherpetic neuralgia treated in Xuanwu Hospital, Capital Medical University was retrospectively analyzed, they were divided into radiofrequency nerve thermocoagulation (Group A) and low temperature plasma ablation (Group B) according to the treatment method, with 20 cases in each group. The visual analogue scores (VAS) of patients in the two groups were recorded before and 1 d, 1 month and 6 months after surgery; the life satisfaction index B table (LSI-B) scores of patients in the two groups were recorded before and 1 month after surgery; the postoperative complications after surgery of patients in the two groups were recorded. Results Compared with Group A, the VAS score of Group B was significantly lower at 1 d, 1 month and 6 months after surgery, with statistical significance (P < 0.05), and the life satisfaction scores of Group B were higher at 1 month after surgery, with statistical significance (P < 0.05). There were no postoperative complications occurred in Group B, but 8 patients with numbness in Group A. Conclusion Compared with radiofrequency nerve thermocoagulation, low temperature plasma ablation is safer and more effective in the treatment of elderly postherpetic neuralgia patients and has higher life satisfaction.

Key words： Low temperature plasma ablation Radiofrequency nerve thermocoagulation Postherpetic neuralgia

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	YANG Liqiang1 NI Jiaxiang1 LI Xiaolin1 HE Liangliang1 DOU Zhi1 SUN Dongguang2 PANG Haitao3

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YANG Liqiang1 NI Jiaxiang1 LI Xiaolin1 HE Liangliang1 DOU Zhi1 SUN Dongguang2 PANG Haitao3. Efficacy and safety of low temperature plasma ablation in treating elderly postherpetic neuralgia[J]. 中国医药导报, 2018, 15(28): 96-98,110.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I28/96

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