实用疼痛学杂志
實用疼痛學雜誌
실용동통학잡지
PAIN CLINIC JOURNAL
2015年
1期
30-33
,共4页
杨小龙%张光志%黄恒%庞艳丽%周小军
楊小龍%張光誌%黃恆%龐豔麗%週小軍
양소룡%장광지%황항%방염려%주소군
椎关节突关节%慢性病%腰痛%脊神经后内侧支%导管消融术,射频%热凝术
椎關節突關節%慢性病%腰痛%脊神經後內側支%導管消融術,射頻%熱凝術
추관절돌관절%만성병%요통%척신경후내측지%도관소융술,사빈%열응술
Zygapophyseal joint%Chronic disease%Low back pain%Posterior ramus spinal nerve%Catheter ablation,radiofrequency%Thermocoagulation
目的 观察脊神经后内侧支射频毁损治疗关节突关节源性慢性腰痛的临床疗效.方法 关节突关节源性慢性腰痛患者86例,在DSA引导下给予脊神经后内侧支射频毁损治疗,观察患者治疗前、治疗后1周、治疗后1年的VAS评分、ODI指数评分及治疗后疗效的优良率与不良反应.结果 治疗后1周、1年的VAS评分、ODI指数评分均低于治疗前(P＜0.05).治疗后1年的VAS与治疗后1周比较无统计学差异(P＞0.05),治疗后1年的ODI指数高于治疗后1周(P＜0.05),治疗后1周及1年的优良率分别为93.0％(80/86例)与75.0％(60/86例),治疗后1年的优良率低于治疗后1周(P＜0.05),未见明显的不良反应.结论 脊神经后内侧支射频毁损治疗关节突关节源性慢性腰痛疗效肯定,且安全性高.
目的 觀察脊神經後內側支射頻燬損治療關節突關節源性慢性腰痛的臨床療效.方法 關節突關節源性慢性腰痛患者86例,在DSA引導下給予脊神經後內側支射頻燬損治療,觀察患者治療前、治療後1週、治療後1年的VAS評分、ODI指數評分及治療後療效的優良率與不良反應.結果 治療後1週、1年的VAS評分、ODI指數評分均低于治療前(P＜0.05).治療後1年的VAS與治療後1週比較無統計學差異(P＞0.05),治療後1年的ODI指數高于治療後1週(P＜0.05),治療後1週及1年的優良率分彆為93.0％(80/86例)與75.0％(60/86例),治療後1年的優良率低于治療後1週(P＜0.05),未見明顯的不良反應.結論 脊神經後內側支射頻燬損治療關節突關節源性慢性腰痛療效肯定,且安全性高.
목적 관찰척신경후내측지사빈훼손치료관절돌관절원성만성요통적림상료효.방법 관절돌관절원성만성요통환자86례,재DSA인도하급여척신경후내측지사빈훼손치료,관찰환자치료전、치료후1주、치료후1년적VAS평분、ODI지수평분급치료후료효적우량솔여불량반응.결과 치료후1주、1년적VAS평분、ODI지수평분균저우치료전(P＜0.05).치료후1년적VAS여치료후1주비교무통계학차이(P＞0.05),치료후1년적ODI지수고우치료후1주(P＜0.05),치료후1주급1년적우량솔분별위93.0％(80/86례)여75.0％(60/86례),치료후1년적우량솔저우치료후1주(P＜0.05),미견명현적불량반응.결론 척신경후내측지사빈훼손치료관절돌관절원성만성요통료효긍정,차안전성고.
Objective To evaluate the efficacy of radiofrequency thermocoagulation on posteromedian ramus of spinal nerve in the treatment of patients with chronic lumbar zygapophyseal joint pain.Methods A total of 86 patients with chronic lumbar zygapophyseal joint pain were treated with radiofrequency thermocoagulation on posteromedian ramus of spinal nerve under the guidance of digital subtraction angiography (DSA).Visual analogue scale (VAS) and the Oswestry disability index (ODI) of the low back pain were recorded before the treatment and 1 week and 1 year after the treatment,and the effective rate and serious adverse reactions were also evaluated at 1 week and 1 year after the treatment.Results VAS and ODI at 1 week and 1 year after the treatment were significantly decreased compared with those before the treatment (P ＜ 0.05).There was no significant difference in VAS at 1 year and 1 week after the treatment (P ＞ 0.05),and ODI scores at 1 year were significantly increased compared with those at 1 week after the treatment (P ＜ 0.05).The excellent and good effective rate was 93.0％ (80/86 cases) and 75.0％ (60/86 cases) at 1 week and 1 year after the treatment respectively.The effective rate at 1 year after the treatment was significantly decreased compared with that at 1 week after the treatment (P ＜ 0.05).No serious adverse reactions were founded in all patients.Conclusion Radiofrequency thermocoagulation on posteromedian ramus of spinal nerve is an effective method for the treatment of patients with chronic lumbar zygapophyseal joint pain.
