疼痛科神经射频手术制度及流程

疼痛科神经射频手术制度及流程Neurotomy, also known as neurotomy or radiofrequency ablation, is a minimally invasive procedure used to treat chronic pain. It involves using radiofrequency waves to ablate nerve fibers that are causing pain. 神经射频手术，也称为神经射频消融，是一种用于治疗慢性疼痛的微创手术。它使用射频波来消除导致疼痛的神经纤维。

The process begins with a thorough evaluation by a pain management specialist to determine if neurotomy is the right treatment option for the patient. This evaluation may include a physical exam, review of medical history, imaging studies, and possibly a trial injection to confirm the source of pain. 过程始于由疼痛管理专家进行全面评估，以确定神经射频手术是否是适合患者的治疗选择。该评估可能包括身体检查、病史回顾、影像学研究，可能还包括试验性注射以确认疼痛的来源。

Once the decision to proceed with neurotomy is made, the patient will be scheduled for the procedure. Before the surgery, the patient will be given specific instructions on how to prepare, including medication management and fasting guidelines. 一旦决定进行神经射

频手术，患者将安排手术。手术前，患者将收到关于如何准备的具体指导，包括药物管理和禁食指南。

During the procedure, the patient will be positioned on an operating table, and the area to be treated will be numbed with a local anesthetic. A small needle will then be inserted near the targeted nerve, guided by fluoroscopy or ultrasound. The radiofrequency waves will then be delivered through the needle to heat and ablate the nerve fibers, interrupting the transmission of pain signals. 在手术

过程中，患者将被安排在手术台上，待处理区域将用局部麻醉剂麻醉。然后，通过透视或超声引导，在目标神经附近插入小针。射频波将通过针传递，加热并消融神经纤维，中断疼痛信号的传输。

After the procedure is completed, the patient will be monitored in a recovery area for a brief period before being discharged home. It is normal to experience some discomfort, bruising, or swelling at the injection site post-operatively. The pain relief from neurotomy may not be immediate, as it can take a few weeks for the nerve to fully degenerate and for the pain to subside. 在手术完成后，患者将在恢复

区进行一段时间的监测后才可以回家。术后在注射部位感到一些不适、瘀伤

或肿胀是正常的。神经射频手术的止痛作用可能不会立即出现，因为神经完全退行和疼痛消退可能需要几周的时间。

It is important for patients to follow post-operative care instructions provided by their healthcare provider to optimize recovery and pain relief. This may include restrictions on certain activities, regular icing of the injection site, and monitoring for any signs of infection or complications. 患者需要遵循医疗保健提供者提供的术后护理指导，以优化康复和止痛作用。这可能包括对某些活动的限制、定期在注射部位冷敷，并监测任何感染或并发症的迹象。

Overall, neurotomy is a valuable tool in the management of chronic pain when conservative treatments have been unsuccessful. It can provide long-lasting pain relief and improve the quality of life for patients suffering from conditions such as arthritis, back pain, or neuropathy. 总的来说，神经射频手术是慢性疼痛管理中一种有价值的工具，当保守治疗无效时。对于患有关节炎、背痛或神经病变等疾病的患者，神经射频手术可以提供持久的止痛和改善生活质量。