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傳統腰椎術後疼痛症候群難耐 射頻熱凝療法可緩解

中時
中醫大學新竹附設醫院骨科醫師陳冠融指「射頻熱凝療法」是非侵入性治療,適用於藥物或物理治療無法長期解決疼痛的情況。(羅浚濱攝)
中醫大學新竹附設醫院骨科醫師陳冠融指「射頻熱凝療法」是非侵入性治療,適用於藥物或物理治療無法長期解決疼痛的情況。(羅浚濱攝)

70歲陳姓婦人在10多年前曾接受傳統腰椎手術,但近5年逐漸開始感到背痛,核磁共振檢查雖顯示腰椎沒有復發神經壓迫,但下背痛的情況始終無法緩解,長期依賴止痛藥,求診中醫大學新竹附設醫院,骨科醫師陳冠融做X光及臨床診斷為「腰椎術後疼痛症候群」,經過醫病溝通後,以射頻熱凝療法非侵入性治療,陳婦隔日就出院,並感覺背痛終於緩解。

陳冠融表示,陳婦曾接受過傳統腰背部手術,但下背痛並無改善,或又再次為腰背疼痛所困擾,是腰椎術後疼痛症候群的典型表現。

陳婦的腰背由於無法習慣脊椎固定後的力學狀態,或者固定處的上下節又衍生關節炎,可能會導致間歇或持續的背痛,痛感有時甚至超過手術前,上述症狀發生率可高達40%。

陳冠融指目前已知風險因子包含肥胖、抽菸、憂鬱都可能促成腰椎術後疼痛症候群,建議可以藉由術前術後的戒菸、減重、和適度運動達到預防。

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陳冠融表示,射頻熱凝療法透過無線電波加熱、並阻斷疼痛神經信號傳導,是一種非侵入性的治療選項,適用於藥物或物理治療無法長期解決疼痛的情況。

以下文章來自: https://www.chinatimes.com/realtimenews/20240506002295-260418

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