中国医药
中國醫藥
중국의약
CHINA MEDICINE
2013年
6期
821-823
,共3页
腰痛,椎间盘源性%针刀松解术%臭氧
腰痛,椎間盤源性%針刀鬆解術%臭氧
요통,추간반원성%침도송해술%취양
Low back pain,discogenic%Needle knife surgery%Ozone
目的 探讨微创联合针刀松解术治疗椎间盘源性下腰痛的疗效.方法 回顾性分析2009年10月至201 1年10月因下腰痛采用经皮臭氧腰椎间盘髓核化学溶解术32例患者(对照组)和该术结合针刀松解术治疗30例患者(观察组)的临床资料.对照组患者仅采用经皮腰椎间盘髓核化学溶解术治疗,观察组在对照组治疗的基础上,透视下对责任椎间盘节段软组织粗条索状改变及不规则结节处行针刀松解术.术后1周、6个月根据视觉模拟评分(VAS)、改良Macnab法进行疗效评定.结果 2组患者均完成随访.2组患者治疗后1周、6个月VAS均明显低于治疗前[对照组:(2.4±1.2)、(2.4±1.6)分比(5.4±1.2)分；观察组:(2.0±1.1)、(1.6±1.2)分比(5.3±1.3)分],差异均有统计学意义(均P＜0.01)；术后1周观察组与对照组间差异无统计学意义(P＞0.05),术后6个月观察组明显低于对照组,差异有统计学意义(P＜0.05).对照组治疗后6个月优良率为65.6％ (21/32),观察组优良率为76.7％(23/30),组间优良率比较,差异有统计学意义(P＜0.05).结论 经皮微创治疗腰椎间盘源性下腰痛安全、可行,结合针刀松解术疗效显著.
目的 探討微創聯閤針刀鬆解術治療椎間盤源性下腰痛的療效.方法 迴顧性分析2009年10月至201 1年10月因下腰痛採用經皮臭氧腰椎間盤髓覈化學溶解術32例患者(對照組)和該術結閤針刀鬆解術治療30例患者(觀察組)的臨床資料.對照組患者僅採用經皮腰椎間盤髓覈化學溶解術治療,觀察組在對照組治療的基礎上,透視下對責任椎間盤節段軟組織粗條索狀改變及不規則結節處行針刀鬆解術.術後1週、6箇月根據視覺模擬評分(VAS)、改良Macnab法進行療效評定.結果 2組患者均完成隨訪.2組患者治療後1週、6箇月VAS均明顯低于治療前[對照組:(2.4±1.2)、(2.4±1.6)分比(5.4±1.2)分；觀察組:(2.0±1.1)、(1.6±1.2)分比(5.3±1.3)分],差異均有統計學意義(均P＜0.01)；術後1週觀察組與對照組間差異無統計學意義(P＞0.05),術後6箇月觀察組明顯低于對照組,差異有統計學意義(P＜0.05).對照組治療後6箇月優良率為65.6％ (21/32),觀察組優良率為76.7％(23/30),組間優良率比較,差異有統計學意義(P＜0.05).結論 經皮微創治療腰椎間盤源性下腰痛安全、可行,結閤針刀鬆解術療效顯著.
목적 탐토미창연합침도송해술치료추간반원성하요통적료효.방법 회고성분석2009년10월지201 1년10월인하요통채용경피취양요추간반수핵화학용해술32례환자(대조조)화해술결합침도송해술치료30례환자(관찰조)적림상자료.대조조환자부채용경피요추간반수핵화학용해술치료,관찰조재대조조치료적기출상,투시하대책임추간반절단연조직조조색상개변급불규칙결절처행침도송해술.술후1주、6개월근거시각모의평분(VAS)、개량Macnab법진행료효평정.결과 2조환자균완성수방.2조환자치료후1주、6개월VAS균명현저우치료전[대조조:(2.4±1.2)、(2.4±1.6)분비(5.4±1.2)분；관찰조:(2.0±1.1)、(1.6±1.2)분비(5.3±1.3)분],차이균유통계학의의(균P＜0.01)；술후1주관찰조여대조조간차이무통계학의의(P＞0.05),술후6개월관찰조명현저우대조조,차이유통계학의의(P＜0.05).대조조치료후6개월우량솔위65.6％ (21/32),관찰조우량솔위76.7％(23/30),조간우량솔비교,차이유통계학의의(P＜0.05).결론 경피미창치료요추간반원성하요통안전、가행,결합침도송해술료효현저.
Objective To explore the effects of traditional Chinese medicine combined with the minimally invasive on discogenic low back pain.Methods The data of 62 patients with low back pain were retrospectively analyzed.All 62 cases with lumbar discogenic low back pain were randomly divided into 2 groups:control group (percutaneous lumbar nucleus pulposus chemical lysis,32 cases) and observation group (percutaneous lumbar nucleus pulposus chemical lysis combined with needle knife technique,30 cases).After 1 week and 6 months after operation,the effects in 2 groups were evaluated by visual analogue scale (VAS) and modified Macnab method.Results One week and six months after operation,the VAS values in 2 groups were less than those before treatment [control group:(2.4 ± 1.2),(2.4 ± 1.6) scores vs (5.4 ± 1.2) scores ; observation group:(2.0 ± 1.1),(1.6 ± 1.2) scores vs (5.3 ± 1.3) scores],and there was a significant difference (P ＜ 0.01).One week after operation,there was no significant difference of the VAS values between observation group and control group (P ＞0.05) ; 6 months after operation,the VAS values in observation group were less than that in control group (P ＜0.05).After 6 months,the recovery rates in control group and observation group were 65.6％ (21/32) and 76.7％(23/30) ％,and the difference was statistically significant (P ＜ 0.05).Conclusions Minimally invasive percutaneous treatment of lumbar discogenic low back pain is a safe and feasible method.The combination of needle knife surgery can achieve a significant effect.
