PMID- 34808745
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20220531
IS  - 0376-2491 (Print)
IS  - 0376-2491 (Linking)
VI  - 101
IP  - 43
DP  - 2021 Nov 23
TI  - [Application of 3D-printed navigation plate in pulsed radiofrequency therapy of 
      dorsal root ganglion in thoracic postherpetic neuralgia].
PG  - 3542-3548
LID - 10.3760/cma.j.cn112137-20210702-01491 [doi]
AB  - Objective: To evaluate the accuracy, efficacy and safety of 3D-printed 
      personalized navigation template in the treatment of thoracic postherpetic 
      neuralgia (PHN) with dorsal root ganglion pulsed radiofrequency (DRG-PRF). 
      Methods: A total of 63 patients with thoracic PHN from March 2019 to December 
      2020 in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing 
      University Medical School were enrolled and randomly divided into study group 
      (n=31) and control group (n=32) by random number table method. The study group 
      received DRG-PRF treatment assisted by 3D-printed navigation template, while the 
      control group received DRG-PRF treatment guided by conventional CT. The one-time 
      success rate of puncture, the incidence of puncture times >/=3, the number of 
      punctures, puncture time, visual analogue scale (VAS) score and surgical 
      complications between the two groups were compared. Results: The one-time success 
      rate of puncture in study group was 84.9% (79/93), which was higher than that of 
      control group [30.2% (29/96)] (P<0.001). The incidence of puncture times >/=3, the 
      number of punctures, puncture time in study group were 4.3% (4/93), 1 (1, 1) and 
      2.9 (2.8, 3.0) min, respectively, which were lower than that of the control group 
      [21.9% (21/96), 2(1, 3), 9.0 (4.5, 12.9) min, respectively] (all P<0.01). No 
      difference was found in VAS score at each time point before and after surgery 
      between the two groups (all P>0.05). There was one case of pleura puncture in the 
      control group, but no other complications such as straying into vertebral canal, 
      hematoma, spinal cord injury, limb movement disorder, infection were found in the 
      two groups. Conclusions: 3D-printed personalized navigation template is an 
      effective method to guide DRG-PRF for the treatment of thoracic postherpetic 
      neuralgia. It can significantly improve the surgical efficiency of DRG-PRF, but 
      has no significant effect on the surgical efficacy.
FAU - Pan, X Q
AU  - Pan XQ
AD  - Nanjing Drum Tower Clinical College of Xuzhou Medical University，Nanjing 
      210008，China.
FAU - Wang, R
AU  - Wang R
AD  - Department of Pain Medicine，Nanjing Drum Tower Hospital，the Affiliated Hospital 
      of Nanjing University Medical School，Nanjing 210008，China.
FAU - Zhao, D L
AU  - Zhao DL
AD  - Department of Pain Medicine，Nanjing Drum Tower Hospital，the Affiliated Hospital 
      of Nanjing University Medical School，Nanjing 210008，China.
FAU - Zhang, Y Q
AU  - Zhang YQ
AD  - Nanjing Drum Tower Clinical College of Xuzhou Medical University，Nanjing 
      210008，China.
FAU - Shao, M M
AU  - Shao MM
AD  - Medical School of Nanjing University，Nanjing 210093，China.
FAU - Han, Y
AU  - Han Y
AD  - Department of Pain Medicine，Nanjing Drum Tower Hospital，the Affiliated Hospital 
      of Nanjing University Medical School，Nanjing 210008，China.
FAU - Lu, L J
AU  - Lu LJ
AD  - Nanjing Drum Tower Clinical College of Xuzhou Medical University，Nanjing 
      210008，China.
LA  - chi
GR  - BE2017603/Jiangsu Province Key Research and Development Program (Social 
      Development)/
GR  - ZKX19016/Key Program of Medical Science and Technology Development Projects in 
      Nanjing/
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - China
TA  - Zhonghua Yi Xue Za Zhi
JT  - Zhonghua yi xue za zhi
JID - 7511141
SB  - IM
MH  - Ganglia, Spinal
MH  - Humans
MH  - *Neuralgia, Postherpetic
MH  - Pain Management
MH  - Printing, Three-Dimensional
MH  - *Pulsed Radiofrequency Treatment
EDAT- 2021/11/23 06:00
MHDA- 2021/11/25 06:00
CRDT- 2021/11/22 22:12
PHST- 2021/11/22 22:12 [entrez]
PHST- 2021/11/23 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
AID - 10.3760/cma.j.cn112137-20210702-01491 [doi]
PST - ppublish
SO  - Zhonghua Yi Xue Za Zhi. 2021 Nov 23;101(43):3542-3548. doi: 
      10.3760/cma.j.cn112137-20210702-01491.