摘要
目的:评价腰椎间盘髓核减压结合脊神经后支热凝治疗盘源性下腰痛的有效性。方法:80例明确诊断为盘源性下腰痛的患者随机分为两组,治疗组(A组,n=40)行髓核钳夹减压术结合脊神经后支射频热凝术。对照组(B组,n=40)单纯采用髓核减压术治疗;手术效果按照疼痛视觉类比评分(Visual Analogue Scale,VAS)和改良的MacNab标准评定,记录两组术中异常情况、不良反应及术后随访满意度。结果:所有病例均顺利完成手术。根据改良的MacNab标准评估后,A组的有效率达90.0%,明显高于对照组的80.0%,差异具有统计学意义(P<0.05)。治疗后3天和3个月后患者的VAS评分与治疗前相比,治疗组及对照组均明显降低,差异有显著性意义(P<0.05);而治疗组与对照组相比,VAS下降更明显,差异也有显著性意义(P<0.05)。结论:腰椎间盘髓核减压术结合脊神经后支射频热凝治疗盘源性下腰痛疗效更好,而且无明显不良反应发生。
Objective： To investigate the efficacy of discogenic low back pain treated with Disc- FX and RF of median branch. Methods： 80 patients with discogenic low back pain were divided into two groups： Group A （treatment group, n =40） with Disc-FX and RF of median branch; Group B （control group, n = 40） with Disc- FX only. The effecacy of treatment was evaluated with visual analogue scale （VAS） and modified Macnab at the time of pre-procedure, day 3 and 3 months follow-up after procedure. Results： All the patients underwent procedures successfully. The effectiveness of group A with 90.0% improvement was much better compared with group B with 80% improvement （P 〈 0.05） according to the modified Macnab assessment. The patients＇ VAS scores of both group （ A and B） after procedure reduced significantly at day 3 and 3 months follow-up compared with pre-procedure （P 〈 0.05）; Further more, the VAS scores in Group A （treatment group） relieved much more at day 3 and 3 months follow-up after procedure compared with group B （control group） （P 〈 0.05）. There were no serious side effects observed in this study. Conclusion： The treatment of Disc-FX and radiofrequency of median branch was an alternative, effective method for the patients with discogenic low back pain.
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2014年第5期322-324,328,共4页
Chinese Journal of Pain Medicine
