摘要
目的:探讨等离子髓核成形术治疗颈椎间盘突出症的临床疗效。方法:2003年1月～2005年8月,应用经皮穿刺等离子髓核成形术治疗颈椎间盘突出症患者42例,其中男25例,女17例,平均年龄43岁(28～55岁),病程平均33个月(2个月～19年)。对比患者手术前后及随访时疼痛视觉模拟评分(visualanalogscale,VAS)和患者对疗效主观满意度评定疗效。结果:随访3～32个月,平均18个月。术前VAS评分平均5.68±0.46分,术后第2天平均2.24±0.73分,随访时平均1.65±0.69分,术后及随访时与手术前比较差异有统计学意义(P<0.001),末次随访时主观满意度优良率88.0%。未出现脊髓、神经、大血管损伤或伤口感染等并发症。结论:等离子髓核成形术治疗颈椎间盘突出症起效快、创伤微小,近、中期疗效满意。
Objective：To analyse the clinical effect of percutaneous nucleoplasty on cervical disc herniation. Method：Forty-two patients with cervical disc herniation were treated with nucleoplasty.Their average age was 43 years old,average duration was 33 months （from 2 months to 19 years）.The data collected was analysed via comparing pain VAS（visual analog scale） preoperatively and postoperatively.Result：Forty-two patients were followed up for an average of 18 months（range,3 to 32 months） postoperatively.The average preoperative VAS was 5.68±0.46 and the postoperative of 1.65±0.69.There was a significant difference between them （P〈0.001）. The total effective rate was 88.0%.No major complication occurred.Conclusion：Nucleoplasty is an effective, minimally invasive and safe procedure for the patients with cervical disc herniation,and the therapeutic effect is ensured during long time follow-up.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2006年第9期667-670,共4页
Chinese Journal of Spine and Spinal Cord
