CAJ | 학술논문

目的：采用射频热凝治疗腰脊神经后支损伤性腰痛症患者，观察其临床治疗效果。方法按照治疗方法不同将60例腰脊神经后支损伤性腰痛症患者分为对照组31例与观察组29例。2组患者均于数字减影血管造影（ Digital subtraction angiography，DSA）下进行治疗，对照组采用腰脊神经后支常规治疗，观察组采用腰脊神经后射频热凝治疗。比较2组患者治疗前后腰部活动度、疼痛情况。结果2组患者治疗后临床疼痛症状均较治疗前显著改善，且观察组改善更显著（P＜0．05）；观察组腰部活动度及压痛治疗优良率为86．21％（25／29），显著高于对照组（70．97％），差异有统计学意义（P＜0．05）。2组均未产生不良反应。结论采用射频热凝治疗腰脊神经后支损伤性腰痛症，可有效改善患者腰部活动，减轻患者疼痛。
목적：채용사빈열응치료요척신경후지손상성요통증환자，관찰기림상치료효과。방법안조치료방법불동장60례요척신경후지손상성요통증환자분위대조조31례여관찰조29례。2조환자균우수자감영혈관조영（ Digital subtraction angiography，DSA）하진행치료，대조조채용요척신경후지상규치료，관찰조채용요척신경후사빈열응치료。비교2조환자치료전후요부활동도、동통정황。결과2조환자치료후림상동통증상균교치료전현저개선，차관찰조개선경현저（P＜0．05）；관찰조요부활동도급압통치료우량솔위86．21％（25／29），현저고우대조조（70．97％），차이유통계학의의（P＜0．05）。2조균미산생불량반응。결론채용사빈열응치료요척신경후지손상성요통증，가유효개선환자요부활동，감경환자동통。
Objective To evaluate the clinical effects of radiofrequency on low back pain that results from lumbar nerve branch injury.Method 60 cases of low back pain resulting from lumbar nerve branch injury patients were divided into a control group( n=31 ) and an experimental group ( n=29 ) .The two groups were first subjected to treatment with digital subtraction angiography ( DSA) .Then, the control group were treated with conventional therapy while the experimental group were treated with radiofrequency.The waist activities and pain situations of both groups as observed before and after treatment were then compared.Findings As compared with before treatment,the pain as suffered by the patients due to the injury was significantly alleviated in both groups(P<0.05).The rate of successful treatment on waist activity and low back pain was as high as 86.21% (25/29),significantly higher than that of the control group, which was 70.97%.The difference was statistically significant (P<0.05).Negative side effects were not found in both groups.Conclusion The therapy of radiofrequency for treating low back pain resulting from lumbar nerve branch injury can effectively improve the patient's waist activity and reduce pain.