摘要
目的观察椎间小关节注射玻璃酸钠治疗椎间小关节炎的临床疗效。方法椎间小关节炎诊断性阻滞定位确诊76例，CT引导下在相应椎间小关节注射玻璃酸钠20mg，观察治疗后VAS评分及改良MacNab腰腿痛评价标准。结果治疗后6个月优65．8％（50／76例），良18．4％（14／76例），差15．8％（12／76例），总有效率84．2％（54／76例）。治疗前后比较有统计学差异，但治疗后1、6个月无统计学差异。结论精确定位下椎间小关节注射玻璃酸钠能有效治疗椎间小关节炎，且疗效较为稳定。
Objective To observe the clinical effect of injection of sodium hyaluronate into facet joints on lumbar intervertebral arthritis. Methods Seventy-six patients diagnosed as intervertebral facet joint osteoarthritis were selected in this group. Sodium hyaluronate 2ml （10mg/ml） was injec- ted into facet joints under CT guidance for one time every 7-10 days,and 3 times as a course after di- agnostic block. Therapeutic effects were evaluated according to VAS and MacNab＇s classification after one and six months. Results The excellenl efficacy was 65.8%（50/76 cases）, good 18.4% （14/76 cases） and poor 15.8%（12/76 cases） and total effective rate 84.2%（54/76 cases） after six months. There was a significant statistical difference between pre- and post-treatment. Conclusion The injection of sodium hyaluronate into facet joints under CT guidance after diagnostic block has a very good therapeutic effect on intervertebral facet joints arthritis.
出处
《实用疼痛学杂志》
2010年第3期193-194,共2页
Pain Clinic Journal
关键词
椎关节突关节
注射
关节内
透明质酸
关节炎
Zygapophyseal Joint
Injections, Intra-Articular
Hyaluronic Acid
Arthritis
