CAJ | 학술논문

目的：研究观察应用低温等离子髓核消融术治疗椎间盘源性下腰痛的疗效。方法选择2013年4月至2014年5月入院治疗椎间盘源性下腰痛100例患者作为研究对象，以数字法随机分为观察组（50例）以及对照组（50例）。观察组患者行低温等离子髓核消融术式进行治疗；对照组患者行临床保守药物治疗。对比观察两组视觉模拟评分（VAS）和 Oswestry 功能障碍指数（ODI）评分和临床疗效。结果观察组 VAS 评分以及 ODI 评分在手术后的各个时段均明显少于对照组，差异具有统计学意义（ P <0.05）。治疗后，观察组优者占64.00%（32/50），优良率达到96.00%（48/50），均明显高于对照组的40.00%（20/50）以及76.00%（38/50），差异具有统计学意义（ P <0.05）。结论使用低温等离子髓核消融术对椎间盘源性下腰痛进行治疗，创口小并且并发症较少，疗效较好，安全可靠，值得临床推广。
목적：연구관찰응용저온등리자수핵소융술치료추간반원성하요통적료효。방법선택2013년4월지2014년5월입원치료추간반원성하요통100례환자작위연구대상，이수자법수궤분위관찰조（50례）이급대조조（50례）。관찰조환자행저온등리자수핵소융술식진행치료；대조조환자행림상보수약물치료。대비관찰량조시각모의평분（VAS）화 Oswestry 공능장애지수（ODI）평분화림상료효。결과관찰조 VAS 평분이급 ODI 평분재수술후적각개시단균명현소우대조조，차이구유통계학의의（ P <0.05）。치료후，관찰조우자점64.00%（32/50），우량솔체도96.00%（48/50），균명현고우대조조적40.00%（20/50）이급76.00%（38/50），차이구유통계학의의（ P <0.05）。결론사용저온등리자수핵소융술대추간반원성하요통진행치료，창구소병차병발증교소，료효교호，안전가고，치득림상추엄。
Objective To observe the curative effect of application of low temperature plasma nucleus pulposus ablation in treatment of patients with discogenic low bacK pain. Methods A total of 100 patients with discogenic low bacK pain in this hospital during April 2013 to May 2014 were allocated in this study,they were randomly divided into observation group(50 cases)and control group(50 cases)by digital method. Patients in observation group underwent hypothermal plasma nucleus pulposus ablation,and patients in control group underwent conservative drug treatment. The effect of treatment in these two groups had been observed and compared. Results The VAS scores of patients in these 2 groups were compared before and after operation,scores of patients in observation group in different time points after the operation were significantly less than those of patients in control group,and the difference was significant( P < 0. 05). ODI scores of patients in these 2 groups were compared be-fore and after operation,scores in observation group in different time points after operation were significantly less than those of control group,and the difference was significant( P < 0. 05). Patients in 2 groups after different surgical treatment,the excellent rate in observation group was ac-counted for 64. 00%(32 / 50),and excellent and good rate reached 96. 00%(48 / 50),they were significantly higher than those[40. 00%(20 /50)and 76. 00%(38 / 50)]of control group,and the difference was significant( P < 0. 05). Conclusion The efficacy of low temperature plas-ma nucleus pulposus ablation in treatment of patients with discogenic low bacK pain is good with small incision and less complications. It is safe and reliable,hence it is worthy to be clinically recommended.