CAJ | 학술논문

　　目的：观察等离子射频消融髓核成形术联合半夏白术天麻汤治疗颈椎间盘突出症的疗效和安全性。方法：82例颈椎间盘突出症患者均行等离子射频消融髓核成形术联合半夏白术天麻汤加减治疗，观察其临床疗效及不良反应发生情况。结果：术后3个月VAS评分明显低于术前（P<0.01）；术后6个月JOA评分明显高于术前（P<0.01），JOA改善率为91.4%；末次随访优良率为92.7%；所有患者均无严重不良反应发生。结论：等离子射频消融髓核成形术联合半夏白术天麻汤治疗颈椎间盘突出症临床疗效满意，且治疗期间无严重不良反应，值得临床推荐。
　　목적：관찰등리자사빈소융수핵성형술연합반하백술천마탕치료경추간반돌출증적료효화안전성。방법：82례경추간반돌출증환자균행등리자사빈소융수핵성형술연합반하백술천마탕가감치료，관찰기림상료효급불량반응발생정황。결과：술후3개월VAS평분명현저우술전（P<0.01）；술후6개월JOA평분명현고우술전（P<0.01），JOA개선솔위91.4%；말차수방우량솔위92.7%；소유환자균무엄중불량반응발생。결론：등리자사빈소융수핵성형술연합반하백술천마탕치료경추간반돌출증림상료효만의，차치료기간무엄중불량반응，치득림상추천。
Objective:To observe the efficacy and safety of treating cervical disc herniation by plasma radiofrequency ablation nucleoplasty com-bined with pinellia, white atractylodes and gastrodia decoction. Methods:82 cases of cervical disc herniation patients were all treated by plasma ra-diofrequency ablation nucleoplasty combined with pinellia, white atractylodes and gastrodia decoction to observe the efficacy and adverse events. Re-sults:The VAS scores at 3 months after surgery was significantly lower than that before surgery (P<0.01);the JOA scores at 6 months after surgery was significantly higher than that before surgery (P<0.01), the improvement rate of JOA was 91.4%;the excellent and good rate in the last follow up was 92.7%;all patients had no serious adverse reactions. Conclusion:It has satisfied efficacy that treating cervical disc herniation by plasma radiofre-quency ablation nucleoplasty combined with pinellia, white atractylodes and gastrodia decoction, and there are no serious adverse reactions during the treatment, which deserves promotion.