摘要
目的 探讨在C型臂引导下靶点射频热凝联合硬膜外前间隙注射镇痛液治疗腰椎间盘突出症的临床效果.方法 将腰椎间盘突出症（L5～S1）患者60例随机分为联合治疗组和单纯射频组,前者在腰椎间盘突出的靶点射频热凝结束后,在硬膜外前间隙注入镇痛复合液 后者则单纯行椎间盘射频热凝治疗.治疗效果用视觉模拟评分法（VAS）和改良MacNab法评价.结果 治疗后两组病例的1周、1个月和6个月VAS评分较术前均明显下降,差异有统计学意义（P＜0.05）,联合治疗组较单纯射频组下降明显（P＜0.05）.结论 C型臂引导下射频热凝联合前间隙注射术是一种较好的治疗腰椎间盘突出症的方法,效果明显优于单纯射频治疗.
Objective To observe the effects of target radiofrequency combine with anterior epidural space injection of analgesic mixture under the guidence of C-arm on the treatment of lumbar disc herniation. Methods Sixty patients with lumbar disc herniation（L5 -S1）were randomly divided into treatment group and control group. Analgesic mixture was injected into anterior epidural space after the target lumbar disc thermocoagulation in the treatment group, whereas radiofrequency thermocoagulation was performed only in the control group. The therapeutic efficacy was observed with visual analogue scale （VAS） and modified MacNah method. Results Both in the treatment group and control group, VAS were decreased at the time of lweek, 1 month and 6 month after the treatment （ P〈0.05 ）, which were more lower in treatment group when compared with control group （P 〈0.05）. Conclusion The combination of radiofrequency and injection of anterior epidural space with analgesic mixture is a good method in the treatment of lumbar disc herniation, which is much better than only radiofrequency therapy.
出处
《实用疼痛学杂志》
2011年第1期12-15,共4页
Pain Clinic Journal
关键词
腰椎间盘突出症
注射
硬膜外
射频热凝
Lumbar Intervertebral Disc Herniation
Injection, Epidural
Radiofrequency Thermocoagulation
