机构：[1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China外科系统疼痛科首都医科大学宣武医院[2]Department of Anesthesiology, Changzhou Tumor Hospital, Changzhou, Jiangsu, China外科系统麻醉手术科江苏省人民医院[3]Department of Orthopedics, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Capital Medical University, Beijing, China诊疗中心外科系统康复医学中心骨科江苏省人民医院[4]Department of Acupuncture & Moxibustion, Wuhan Hospital of Integrated Chinese & Western Medicine, Tongji Medical College of Huazhong University of Science & Technology, Wuhan, Hubei, China[5]Department of Anesthesiology, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China外科系统麻醉手术科江苏省人民医院[6]Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, China外科系统麻醉手术科江苏省人民医院[7]Department of Anesthesiology, Central People’s Hospital of Zhanjiang, Zhanjiang, China外科系统麻醉手术科江苏省人民医院
Objective. The cervicogenic headache is a syndrome caused by dysfunction of the upper cervical spine and its component bony, disc, and/or soft tissue elements. The C2 nerve root may play a pivotal role in cervicogenic headache. In this retrospective study, we evaluated the feasibility and efficacy of ultrasound-guided C2 nerve root coblation in managing 26 patients with cervicogenic headache. Design and Setting. The data were collected retrospectively by reviewing the patient's medical records and pain questionnaires. Subjects and Methods. A total of 109 patients with cervicogenic headache sustained for at least six months were identified. Of those patients, 26 had a visual analog scale score >= 6 and subsequently underwent an ultrasound-guided C2 nerve root coblation. Results. All 26 patients had >50% pain relief one day after coblation. Twenty-three of the 26 patients (92.31%) had a decrease in their pain score of 50% or more at 24-week follow-up. The mean pain score was 7.38 +/- 1.13 before coblation and 1.85 +/- 0.83 one day after coblation (Bonferroni-adjusted P < 0.001). At 12 and 24 weeks after coblation, the mean pain scores were 2.96 +/- 0.96 (P < 0.001) and 3.08 +/- 1.38 (P < 0.008), respectively. Conclusions. C2 nerve coblation may provide the majority of patients with a pain relief period as long as 24 weeks. And ultrasound guidance is an efficient method with which to perform coblation.
基金：
Scientific Research Incubation Project of Beijing Municipal Administration of Hospitals [PX2016015]; High-level Health and Technical Personnel Training Plan for Beijing Healthy System, Beijing Municipal Commission of Health and Family Planning [2015-3-067]; Fundamental-Clinical Cooperative Research Cooperation Fund of Capital Medical University [16JL50]
第一作者机构：[1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China[*1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China
通讯作者：
通讯机构：[1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing, China[6]Department of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, China[7]Department of Anesthesiology, Central People’s Hospital of Zhanjiang, Zhanjiang, China[*1]Department of Pain Management, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China[*2]Department of Anesthesiology, Central People’s Hospital of Zhanjiang, 236 Yuanzhu Road, Zhanjiang, Guangdong, 524045, China.
推荐引用方式(GB/T 7714)：
Wu Baishan,Yue Li,Sun Fenglong,et al.The Feasibility and Efficacy of Ultrasound-Guided C2 Nerve Root Coblation for Cervicogenic Headache[J].PAIN MEDICINE.2019,20(6):1219-1226.doi:10.1093/pm/pny227.
APA：
Wu, Baishan,Yue, Li,Sun, Fenglong,Gao, Shan,Liang, Bing&Tao, Tao.(2019).The Feasibility and Efficacy of Ultrasound-Guided C2 Nerve Root Coblation for Cervicogenic Headache.PAIN MEDICINE,20,(6)
MLA：
Wu, Baishan,et al."The Feasibility and Efficacy of Ultrasound-Guided C2 Nerve Root Coblation for Cervicogenic Headache".PAIN MEDICINE 20..6(2019):1219-1226
