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腰椎间盘突出连续硬膜外阻滞疗效观察

Observations on the effect of continuous epidural block on lumbar disc herniation
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摘要 目的 :探讨连续硬膜外阻滞治疗腰椎间盘突出的适应证和疗效相关因素。方法 :经腰 (骶 )部穿刺 ,1%利多卡因连续硬膜外腔阻滞法。结果 :随访 15 1例 ,随访 8~ 31个月 ,优良 83例 (5 5 .0 % ) ,疼痛明显改善 ,以中央型和腰痛为主的椎间盘突出较为有效。结论 :本封闭法疗效与椎间盘突出部位、类型有关 。 Objective:To explore the factors related to the indications and effect of continuous epidural block in the treatment of lumbar disc herniation.Methods:Translumbar(transsacral) centesis and continuous epidural block with 1% lidocaine were performed.Results:Of the 151 cases followed up,83 cases(55.0%) achieved excellent or good results and their pain was markedly relieved.The effect was better in the central type or with lumbar pain as the main complaint.Conclusions:The effect of the block therapy is related to the site and type of disc herniation and the indication of the therapy is disc herniation with severe pain.
出处 《蚌埠医学院学报》 CAS 2001年第4期319-320,共2页 Journal of Bengbu Medical College
关键词 椎问盘移位 神经阻滞 硬膜外腔 intervertebral disc displacement nerve block epidural space
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