Radiofrequency Thoracic Sympathectomy for Sympathetically Maintained Chronic Post-Mastectomy Pain, a Preliminary Report: 6-Month Results.

摘要: AIM Evaluation of the analgesic efficacy radiofrequency thoracic sympathectomy for sympathetically maintained post-mastectomy pain syndrome (PMPS). METHODS Patients with PMPS randomized to Group TS (n = 33) received sympathectomy, and those Sham no current. Postoperative treatment consisted duloxetine, pregabalin, tramadol both groups. The outcome variables were proportion patients who showed >50% reduction in their VAS score, intensity measured by global perceived effect (GPE) evaluated during 6-month follow-up period. RESULTS A significantly higher experienced (Group 25/30 [83.3%] vs. 18/31 [58%], P = 0.032); without analgesics was 10/25 [40%] 0/18 [0%], P = 0.001). Furthermore, treated tramadol + duloxetine + pregabalin lower 0/25 [0%] 13/18 [75%], score at 2 weeks 1, 2, 3, 6 months following procedure. GPE median [interquartile range]) 7 [5, 7] 5 [4, 6]) P < 0.001). CONCLUSIONS Radiofrequency decreased scores reduced need anti-neuropathic drugs, particularly opioid medications, provided better patient satisfaction.