潍坊医学院学报
濰坊醫學院學報
유방의학원학보
JOURNAL OF WEIFANG MEDICAL COLLEGE
2014年
4期
292-294
,共3页
潘洪发%王炳武%钟军%陈乃旺
潘洪髮%王炳武%鐘軍%陳迺旺
반홍발%왕병무%종군%진내왕
激光%治疗%椎间盘源性腰痛%评价
激光%治療%椎間盤源性腰痛%評價
격광%치료%추간반원성요통%평개
Laser%Treatment%Discogenic low back pain%Evaluate
目的:探讨经皮激光椎间盘减压术( PLDD)治疗椎间盘源性腰痛的疗效。方法回顾分析2011年6月~2013年6月临床诊断为椎间盘源性腰痛患者共28例。术后随访3~24个月,平均12.5个月,比较术前与末次随访疼痛视觉模拟评分、功能障碍评分变化,按改良MacNab功能评价标准评价患者对治疗的主观满意度。结果与术前相比,术后VAS评分降低(3.7±1.3),差异有显著性(P<0.01),术后ODI评分降低(13.7±5.0),差异有显著性(P<0.01);无神经根损伤、大出血、死亡病例,显效6例,有效17例,无效5例,满意度82.1%.结论经皮激光椎间盘减压术为治疗椎间盘源性腰痛安全、有效的方法,值得推广。
目的:探討經皮激光椎間盤減壓術( PLDD)治療椎間盤源性腰痛的療效。方法迴顧分析2011年6月~2013年6月臨床診斷為椎間盤源性腰痛患者共28例。術後隨訪3~24箇月,平均12.5箇月,比較術前與末次隨訪疼痛視覺模擬評分、功能障礙評分變化,按改良MacNab功能評價標準評價患者對治療的主觀滿意度。結果與術前相比,術後VAS評分降低(3.7±1.3),差異有顯著性(P<0.01),術後ODI評分降低(13.7±5.0),差異有顯著性(P<0.01);無神經根損傷、大齣血、死亡病例,顯效6例,有效17例,無效5例,滿意度82.1%.結論經皮激光椎間盤減壓術為治療椎間盤源性腰痛安全、有效的方法,值得推廣。
목적:탐토경피격광추간반감압술( PLDD)치료추간반원성요통적료효。방법회고분석2011년6월~2013년6월림상진단위추간반원성요통환자공28례。술후수방3~24개월,평균12.5개월,비교술전여말차수방동통시각모의평분、공능장애평분변화,안개량MacNab공능평개표준평개환자대치료적주관만의도。결과여술전상비,술후VAS평분강저(3.7±1.3),차이유현저성(P<0.01),술후ODI평분강저(13.7±5.0),차이유현저성(P<0.01);무신경근손상、대출혈、사망병례,현효6례,유효17례,무효5례,만의도82.1%.결론경피격광추간반감압술위치료추간반원성요통안전、유효적방법,치득추엄。
Objective To evaluate the efficacy of percutaneous laser disc decompression treatment on disco-genic low back pain .Methods Retrospective analysis including 28 cases of patients with a clinical diagnosed discogenic low back pain from June 2011 to June 2013 was performed .Patients were followed up 3~24 months ,an average of 12 .5 months,and the score changes of VAS ,ODI were observed preoperative and final follow-up.According to the modified MacNab criteria ,satisfaction of the treatment was evaluated .Results Compared with the preoperative ,Postoperative VAS score decreased(3.7 ±1.3),and there were significant differences (P<0.01).Postoperative ODI score decreased (13.7 ±5.0),there were significant differences (P<0.01).No nerve root injury,bleeding or deaths appeared ,there were 6 cases being significantly effective in treatment ,17 cases being effective ,5 cases being ineffective ,and the satisfaction was 82.1%.Conclusion Percutaneous laser disc decompression is a safe and effectivefor method for the treatment of disco -genic low back pain .