CAJ | 학술논문

目的：比较胶原酶化学溶解术与射频热凝术治疗颈椎间盘突出症的临床疗效。方法158例颈椎间盘突出症患者分为2组，采用射频热凝术治疗72例；采用胶原酶化学溶解术治疗86例。于术后1周、1个月、3个月、6个月随访，根据MacNab疗效评定标准和VAS评分法，对治疗后优良率、总有效率和疼痛程度进行比较。结果胶原酶优良率及有效率明显高于射频组（P<0.05）；VAS评分后，术后1周，射频组优于胶原酶组（P<0.01）。但6个月后胶原酶组优于射频组（P<0.05）。结论射频热凝术和胶原酶溶解术均为治疗颈椎间盘突出症的有效疗法。
목적：비교효원매화학용해술여사빈열응술치료경추간반돌출증적림상료효。방법158례경추간반돌출증환자분위2조，채용사빈열응술치료72례；채용효원매화학용해술치료86례。우술후1주、1개월、3개월、6개월수방，근거MacNab료효평정표준화VAS평분법，대치료후우량솔、총유효솔화동통정도진행비교。결과효원매우량솔급유효솔명현고우사빈조（P<0.05）；VAS평분후，술후1주，사빈조우우효원매조（P<0.01）。단6개월후효원매조우우사빈조（P<0.05）。결론사빈열응술화효원매용해술균위치료경추간반돌출증적유효요법。
Objective To compare and evaluate the effect of collagenase chemonucleolysis (CNL)and radiofrequency thermocoagulation in the treatment of cervical intervertebral disc hernia-tion. Methods 158 patients with cervical intervertebral disc herniation were divided into two groups based on the treatment they received.72 patients in A group were treated by radiofrequency thermocoagulation,and 86 patients in B group were treated by CNL. The total effective rate and pain degree were assessed according to MacNab criteria and VAS scoring after follow-up for one week, one month, three months and six months. Results The assessment of MacNab showed the effect of group B was better than group A after surgery (P<0.05). One week after treatment,the as-sessment of VAS showed that the effect of group A was better than group B after surgery (P<0.01), but 6 months after treatment, the effect of group B was better than group A (P<0.05). Conclusion The radiofrequency thermocoagulation and CNL are both effective in the treatment of cervical inter-vertebral disc herniation.