中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2013年
20期
14-16
,共3页
腰椎%椎间盘移位%电凝术
腰椎%椎間盤移位%電凝術
요추%추간반이위%전응술
Lumbar vertebrae%Intervertebral disk displacement%Electrocoagulation
目的 探讨多靶点射频热凝术治疗腰椎间盘突出症的效果.方法 应用国产R-2000B射频消融器对112例包含型腰椎间盘突出症患者采用阶梯式升温法进行多靶点射频热凝术治疗,通过对比术前、术后疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)以及疗效等级结果评估其临床效果.结果 术前VAS评分(7.60±1.12)分,术后3 d(3.10±1.05)分,术后6个月(2.90±0.92)分,术前与术后3d、6个月VAS评分比较差异有统计学意义(P＜0.05).术前ODI 47.6±8.3,术后3个月25.5±6.7,术后6个月23.7±6.2,术前与术后3、6个月ODI比较差异有统计学意义(P＜0.05).临床疗效:优66例,良32例,可10例,无效4例,优良率为87.5％(98/112).所有患者均未出现神经损伤、感染等严重并发症.结论 应用多靶点射频热凝术治疗腰椎间盘突出症具有创伤小、术后恢复快、临床效果明显等优点,值得临床推广应用.
目的 探討多靶點射頻熱凝術治療腰椎間盤突齣癥的效果.方法 應用國產R-2000B射頻消融器對112例包含型腰椎間盤突齣癥患者採用階梯式升溫法進行多靶點射頻熱凝術治療,通過對比術前、術後疼痛視覺模擬量錶(VAS)評分、Oswestry功能障礙指數(ODI)以及療效等級結果評估其臨床效果.結果 術前VAS評分(7.60±1.12)分,術後3 d(3.10±1.05)分,術後6箇月(2.90±0.92)分,術前與術後3d、6箇月VAS評分比較差異有統計學意義(P＜0.05).術前ODI 47.6±8.3,術後3箇月25.5±6.7,術後6箇月23.7±6.2,術前與術後3、6箇月ODI比較差異有統計學意義(P＜0.05).臨床療效:優66例,良32例,可10例,無效4例,優良率為87.5％(98/112).所有患者均未齣現神經損傷、感染等嚴重併髮癥.結論 應用多靶點射頻熱凝術治療腰椎間盤突齣癥具有創傷小、術後恢複快、臨床效果明顯等優點,值得臨床推廣應用.
목적 탐토다파점사빈열응술치료요추간반돌출증적효과.방법 응용국산R-2000B사빈소융기대112례포함형요추간반돌출증환자채용계제식승온법진행다파점사빈열응술치료,통과대비술전、술후동통시각모의량표(VAS)평분、Oswestry공능장애지수(ODI)이급료효등급결과평고기림상효과.결과 술전VAS평분(7.60±1.12)분,술후3 d(3.10±1.05)분,술후6개월(2.90±0.92)분,술전여술후3d、6개월VAS평분비교차이유통계학의의(P＜0.05).술전ODI 47.6±8.3,술후3개월25.5±6.7,술후6개월23.7±6.2,술전여술후3、6개월ODI비교차이유통계학의의(P＜0.05).림상료효:우66례,량32례,가10례,무효4례,우량솔위87.5％(98/112).소유환자균미출현신경손상、감염등엄중병발증.결론 응용다파점사빈열응술치료요추간반돌출증구유창상소、술후회복쾌、림상효과명현등우점,치득림상추엄응용.
Objective To evaluate the clinical efficacy of multiple target burst frequency thermocoagulation in treatment of lumbar disc herniation.Methods One hundred and twelve patients suffering from lumbar disc herniation were treated with stepped heating multiple target burst frequency thermocoagulation using of domestic R-2000B radiofrequency ablation machine.The visual analogue scale (VAS) score,Oswestry disability index (ODI) and effect of grade before operation and after operation were compared.Results The VAS score before operation was (7.60 ± 1.12) scores,3 d after operation was (3.10 ± 1.05) scores,6 months after operation was (2.90 ± 0.92) scores,there was significant difference between before operation and 3 d,6 months after operation (P ＜ 0.05).The ODI before operation was 47.6 ± 8.3,3 months after operation was 25.5 ± 6.7,6 months after operation was 23.7 ± 6.2,there was significant difference between before operation and 3,6 months after operation (P ＜0.05).The clinical efficacy:excellent grade was in 66 cases,the good was in 32 cases,the improvement was in 10 cases,the inefficacy was in 4 cases,the excellent and good rate was 87.5％ (98/112).There was no nerve injury,infection or death after operation.Conclusion Multiple target burst frequency thermocoagulation in the treatment of lumbar disc herniation has the advantages of little incision and tissue damage,fast recovery,good clinical outcome,it is worth to clinical practice.
