CAJ | 학술논문

目的分析采用Disc-FX微创手术系统下行髓核摘除、射频消融和纤维环成型的“三合一”方法治疗椎间盘源性腰痛的临床疗效.方法 2011年2月至2012年5月,对35例椎间盘源性腰痛患者行Disc-FX通道系统辅助下的“三合一”治疗,其中男23例,女12例；年龄27～ 56岁,平均36.5岁.对比分析治疗前和术后1周、6个月及末次随访时VAS评分及Oswestry评分.结果手术时间25 ～45 min,平均29 min.术后随访6～18个月,平均14.8个月.术后未发现手术相关并发症.术后1周、6个月以及末次随访时VAS评分分别为:(0.95±o.58)分、(1.15±0.60)分和(1.05±0.66)分,与术前VAS评分(6.70±1.26)分相比,差异有统计学意义(P＜0.05)；Oswestry评分分别为(8.3±5.7)分、(8.5±4.9)分、(8.6±4.5)分,与术前(19.9±6.8)分相比,评分结果比较差异均有统计学意义(P＜ 0.05).有1例患者术后2个月时复发再次手术.结论 Disc-FX系统辅助下的“三合一”技术治疗椎间盘源性腰痛近期疗效满意,尚需增加观察例数,其远期效果需进一步观察.
목적 분석채용Disc-FX미창수술계통하행수핵적제、사빈소융화섬유배성형적“삼합일”방법치료추간반원성요통적림상료효.방법 2011년2월지2012년5월,대35례추간반원성요통환자행Disc-FX통도계통보조하적“삼합일”치료,기중남23례,녀12례；년령27～ 56세,평균36.5세.대비분석치료전화술후1주、6개월급말차수방시VAS평분급Oswestry평분.결과 수술시간25 ～45 min,평균29 min.술후수방6～18개월,평균14.8개월.술후미발현수술상관병발증.술후1주、6개월이급말차수방시VAS평분분별위:(0.95±o.58)분、(1.15±0.60)분화(1.05±0.66)분,여술전VAS평분(6.70±1.26)분상비,차이유통계학의의(P＜0.05)；Oswestry평분분별위(8.3±5.7)분、(8.5±4.9)분、(8.6±4.5)분,여술전(19.9±6.8)분상비,평분결과비교차이균유통계학의의(P＜ 0.05).유1례환자술후2개월시복발재차수술.결론 Disc-FX계통보조하적“삼합일”기술치료추간반원성요통근기료효만의,상수증가관찰례수,기원기효과수진일보관찰.
Objective To study the clinical efficacy of the 3-in-1 technique of Disc-FX system,including:discectomy,radiofrequency ablation and annuloplasty for discogenic low back pain.Methods From February 2011 to May 2012,35 patients with the discogenic low back pain were treated discectomy,radiofrequency ablation and annuloplasty by Disc-FX system,cluding 23 males and 12 females with an average age of 36.5 years old (range,27-56 years old).The visual analogue scale (VAS) scoring and Oswestry scoring system were applied to evaluate the pain at preoperative,postoperative 1 week,6 months,and the final follow-up.The Oswestry score was also evaluated.They were analyzed retrospectively.Results All the patients were followed up for average 14.8 months (range from 6 to 18 months).The operative time averaged 29 min (range,25-45 min).No complication was found during the follow-up time.The VAS score of preoperative was (6.70 ± 1.26) scores,VAS score of pain at postoperative 1 week,6 months,and final follow-up were (0.95 ±0.58)scores,(1.15 ±0.60)scores,(1.05 ± 0.66) scores respectively.The postoperative VAS of pain decreased significantly compared with that of preoperative.The Oswestry score of preoperation was (19.9 ± 6.8) scores,postoperative 1 week,6 months,and final follow-up were (8.3 ± 5.7) scores,(8.5 ± 4.9) scores,(8.6 ± 4.5) scores respectively.It was significantly compared with that of preoperative also.Conclusions Disc-FX system,which collected three surgical technique in one procedure,provides a new choice for discogenic low back pain.It give satisfactory clinical outcomes during a short-term follow up,but for the long term clinical outcomes,it remains unknown.