CAJ | 학술논문

目的探讨射频消融髓核成形术治疗颈椎间盘突出症的临床效果.方法回顾性分析应用射频消融髓核成形术治疗的183例颈椎间盘突出症患者资料,采用VAS评分及患者主观满意度评估其疗效.结果术后随访3个月至3年,平均1年.所有患者均未出现局部血肿、感染和血管神经损伤等并发症.术后1周症状缓解率58.4％,主观满意度优良率95.1％；末次随访时症状缓解率66.1％,主观满意度优良率85.8％.结论射频消融髓核成形术是治疗颈椎间盘突出症的有效措施,具有创伤小、安全、疗效佳等优点.
목적 탐토사빈소융수핵성형술치료경추간반돌출증적림상효과.방법 회고성분석응용사빈소융수핵성형술치료적183례경추간반돌출증환자자료,채용VAS평분급환자주관만의도평고기료효.결과 술후수방3개월지3년,평균1년.소유환자균미출현국부혈종、감염화혈관신경손상등병발증.술후1주증상완해솔58.4％,주관만의도우량솔95.1％；말차수방시증상완해솔66.1％,주관만의도우량솔85.8％.결론 사빈소융수핵성형술시치료경추간반돌출증적유효조시,구유창상소、안전、료효가등우점.
Objective To explore the clinical outcomes of the percutaneous radiofrequency nucleoplasty in the treatment of cervical disc herniation.Methods 183 patients with cervical disc herniation were treated with percutaneous radiofrequency nucleoplasty.A retrospective analysis of 183 patients was made,and their effects were evaluated using the VAS and the subjective satisfactory degree of the patients.Results All cases were followed up for 3 to 36 months( average 12 months).There were no complications observed such as hemorrhages,infections and nerve root injurys due to the procedure.One week after operation,symptom remission rate was 58.4％ and perfect rate of subjective satisfaction was 95.1％.At final follow up,symptom remission' rate was 66.1％ and perfect rate of subjective satisfaction was 85.8％.Conclusion Percutaneous radiofrequency nucleoplasty was an effective,minimally invasive and safe procedure to treat cervical disc herniation,and the operative treatment had shown better results.