CAJ | 학술논문

目的评价C型臂引导下Disc-FX双极射频系统行髓核摘除术、射频消融术和纤维环成形术治疗椎间盘源性腰痛的效果.方法椎间盘源性腰痛患者28例,视觉模拟评分(VAS评分)＞7分,性别不限,年龄27～73岁,在C型臂引导下采用Disc-FX双极射频系统行髓核摘除术、射频消融术和纤维环成形术.随访至术后2个月,采用VAS评分评价疼痛程度,分别于术前、术后7、14 d、1个月、2个月记录VAS评分,根据VAS评分评价术后2个月镇痛有效情况,术后2个月根据Macnab标准评价疗效.记录手术相关不良反应的发生情况.结果与术前比较,术后不同时点VAS评分降低(P＜0.05),术后2个月时镇痛有效率为93%；按Macnab标准评价疗效:优17例,良9例,可2例,优良率93%.1例女性患者发生腰椎静脉丛损伤,无一例患者发生椎间盘感染、神经根损伤和脊髓损伤.结论 C型臂引导下Disc-FX双极射频系统行髓核摘除术、射频消融术和纤维环成形术治疗椎间盘源性腰痛的优良率为93%,不良反应较少.
목적 평개C형비인도하Disc-FX쌍겁사빈계통행수핵적제술、사빈소융술화섬유배성형술치료추간반원성요통적효과.방법 추간반원성요통환자28례,시각모의평분(VAS평분)＞7분,성별불한,년령27～73세,재C형비인도하채용Disc-FX쌍겁사빈계통행수핵적제술、사빈소융술화섬유배성형술.수방지술후2개월,채용VAS평분평개동통정도,분별우술전、술후7、14 d、1개월、2개월기록VAS평분,근거VAS평분평개술후2개월진통유효정황,술후2개월근거Macnab표준평개료효.기록수술상관불량반응적발생정황.결과 여술전비교,술후불동시점VAS평분강저(P＜0.05),술후2개월시진통유효솔위93%；안Macnab표준평개료효:우17례,량9례,가2례,우량솔93%.1례녀성환자발생요추정맥총손상,무일례환자발생추간반감염、신경근손상화척수손상.결론 C형비인도하Disc-FX쌍겁사빈계통행수핵적제술、사빈소융술화섬유배성형술치료추간반원성요통적우량솔위93%,불량반응교소.
Objective To evaluate the efficacy of lumbar discectomy,radiofrequency ablation and annuloplusty performed with Disc-FX system under the guidance of C-arm in treatment of discogenic low back pain.Methods Twenty-eight patients with discogenic low back pain,with VAS score greater than 7,aged 27-73 yr,underwent lumbar discectomy,radiofrequency ablation and annuloplusty performed using Disc-FX system under the guidance of C-arm.The patients were followed up for 2 months after surgery and pain was assessed using VAS score.VAS scores were recorded before surgery,and at 7 and 14 days and 1 and 2 months after surgery.The effective analgesia was recorded according to VAS scores.The therapeutic effect was evaluated according to Macnab standard 2 months after surgery.Results VAS scores were significantly lower at each time point after surgery than before surgery (P ＜ 0.05).The rate of effective analgesia was 93 % at 2 months after surgery.The excellent and good rate of the therapeutic effect evaluated was 93 %.One female patient developed injury to lumbar venous plexus,and no patients developed infection of intervertebral disk,nerve root injury or spinal cord injury.Conclusion The excellent and good rate is 93 % when lumbar discectomy,radiofrequency ablation and annuloplusty performed using Disc-FX system is used for treatment of discogenic low back pain under the guidance of C-arm,with fewer side effects.