CAJ | 학술논문

目的观察射频消融髓核成形术对颈椎间盘内压力的影响,以提供射频消融髓核成形术治疗颈椎间盘突出症的理论依据.方法应用射频消融髓核成形术治疗颈椎间盘突出症患者42例(神经根型颈椎病33例,椎动脉型颈椎病9例),于射频消融前后分别测量颈椎间盘内压力,并于术后1周采用日本骨科学会(JOA)评分评估其疗效,探讨颈椎间盘内压力的变化与临床疗效之间的关系.结果射频消融髓核成形术后,33例神经根型颈椎病患者颈椎间盘内压力较术前降低(1.84±0.96)kPa(P=0.000),术后1周JOA评分较术前升高(3.27±1.35)分(P=0.000);9例椎动脉型颈椎病患者颈椎间盘内压力较术前降低(1.72±0.92)kPa(P=0.000),术后1周JOA评分较术前升高(2.78±0.67)分(P=0.000).相关分析表明椎间盘内压力的降低程度与JOA评分的升高程度呈显著正相关(p<0.05).结论射频消融髓核成形术可以降低颈椎间盘内压力,从而达到缓解临床症状的目的 .
목적 관찰사빈소융수핵성형술대경추간반내압력적영향,이제공사빈소융수핵성형술치료경추간반돌출증적이론의거.방법 응용사빈소융수핵성형술치료경추간반돌출증환자42례(신경근형경추병33례,추동맥형경추병9례),우사빈소융전후분별측량경추간반내압력,병우술후1주채용일본골과학회(JOA)평분평고기료효,탐토경추간반내압력적변화여림상료효지간적관계.결과 사빈소융수핵성형술후,33례신경근형경추병환자경추간반내압력교술전강저(1.84±0.96)kPa(P=0.000),술후1주JOA평분교술전승고(3.27±1.35)분(P=0.000);9례추동맥형경추병환자경추간반내압력교술전강저(1.72±0.92)kPa(P=0.000),술후1주JOA평분교술전승고(2.78±0.67)분(P=0.000).상관분석표명추간반내압력적강저정도여JOA평분적승고정도정현저정상관(p<0.05).결론 사빈소융수핵성형술가이강저경추간반내압력,종이체도완해림상증상적목적 .
Objective To study the changes of pressure in cervical disc after percutaneous radiofrequency nucleoplasty,and provide theoretical basis for percutaneous radiofrequency nucleoplasty in the treatment of cervical disc herniation. Methods Forty-two patients with cervical disc herniation (33 cases of nerve root-type cervical spondylopathy and 9 cases of vertebral artery-type cervical spondylopathy) were treated with pereutaneous radiofrequeney nucleoplasty. The pressures of operated cervical disc were measured in the operation, and their clinical effects were evaluated using the JOA values 1 week after operation. The relationship between pressure changes in cervical disc and clinical effect was studied. Results The pressure in the cervical disc in 33 cases of nerve root-type cervical spondylopathy was decreased (1.84 ± 0.96) kPa (P=0.000), and the JOA values increased (3.27 ± 1.35) scares (P=0.000) 1 week after operation. The pressure in the cervical disc in 9 cases of vertebral artery-type cervical spondylopathy was decreased (1.72 ± 0.92) kPa (P= 0.000), and the JOA values increased (2.78 ± 0.67) scores (P= 0.000) 1 week after operation. Correlative analysis showed that there was a positive correlation between the pressure decrease of cervical disc and the JOA values increase (P < 0.05). Conclusion Percutaneous radiofrequency nucleoplasty can help to reduce pressure in the cervical disc and relieve the clinical symptoms.