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射频热凝联合臭氧治疗椎间盘源性下腰痛的临床研究 被引量：10

Treatment effects of discogenic low back pain with radiofrequency combined ozone
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摘要 目的探讨射频热凝联合臭氧治疗椎间盘源性下腰痛（DLBP）的临床效果。方法回顾分析自2007年1月～2009年6月临床资料完整的54例椎间盘源性下腰痛采用微创射频热凝联合臭氧治疗，先射频针行纤维环多靶点射频热凝，再臭氧脉冲式注入髓核和神经根周围，采用VAS、ODI和改良MacNab标准评价治疗效果。结果手术时间23—53min。平均27min。无神经损伤、椎间隙感染等并发症。54例均获随访2年，术前VAS评分（7．25±o．83）分显著高于术后1周（4．37±0．24）分（q=29．052，P〈O．05）、术后6个月（3．494±1．02）分（q=37．929，P〈O．05）、术后1年（2．96±0．72）分（q=43．275，P〈O．05）、术后2年（3．14±0．59）分（q=41．459，P〈0．05）；术前ODI评分（34．55±4．71）分显著高于术后1周（23．274±7．39）分（q=17．431，P〈0．05）、术后6个月（19．75±4．16）分（q=22．870，P〈0．05）、术后1年（18．03±2．48）分（q=25．528，P〈0．05）、术后2年（18．124±3．58）分（q=25．389，P〈0．05）。术后2年MacNab评分有效率75．9％（41／54）。结论射频热凝联合臭氧注射是治疗椎间盘源性下腰痛比较理想的微创方法。 Objective To evaluate the clinical treatment effects of discogenic low back pain with radiofrequency combined ozone. Methods The clinical data of hospitalized patients with discogenic low back pain were retrospectively analyzed from January 2007 to June 2009. In which 54 patients with complete data were treated with minimally invasive radiofrequeney combined ozone, and the use of VAS, ODI and improved MacNab criteria to evaluate the therapeutic effect. Results The operation time was 23-53 min, an average of 27 min. No complications of nerve damage, disc space infection occurred. All of 54 patients were followed up for 2 years. The preoperative VAS score （7.25 ±0.83） was significantly higher than the preoperative score of 1 week （4.37±0.24） （q =29.052, P 〈0.05）, 6 months （3.49 ±1.02） （q =37.929, P 〈0.05）, 1 year （2.96± 0.72）（q=43.275, P 〈0.05）, and 2 years （3A4＋-0.59）（q =41.459, P 〈0.05）; And the preoperative ODI score （34.55±4.71）was significantly higher than preoperative score of 1 week （23.27±7.39）（q =17.431 ,P 〈0.05）, 6 months （19.75±4.16）（q =22.870, P 〈0.05）, 1 year （18.03±2.48）（q =25.528,P 〈0.05）, and 2 years （18.12±3.58）（q =25.389,P 〈0.05）. The efficacy rate of MacNab criteria at 2 year reached 75.93%（41/54）. Conclusion Treatment of discogenic low back pain with radiofrequency combined ozone is the ideal minimally invasive method.
作者 郭团茂 徐永军 行艳丽 刘强 陈文恒 郭霆 晁军伟 程超
机构地区 陕西省咸阳市中心医院骨二科
出处 《中国骨与关节损伤杂志》 2013年第3期216-218,共3页 Chinese Journal of Bone and Joint Injury
基金 陕西省卫生厅科研基金资助项目(2012D28)
关键词 椎间盘源性下腰痛 微创 射频热凝 臭氧 Discogenic low back pain Minimally invasive Radiofrequency Ozone
分类号 R681.5 [医药卫生—骨科学]
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参考文献12

  • 1Schwarzer AC,Aprill CN,Derby R,et al. The prevalence and clinical features of internal disc disruption inpatients with chronic low back pain[J]. Spine, 1995,20(17) : 1878-1883.
  • 2Fukui M,Chiba K,Kawakami M,et al. Japanese Orthopaedic Associ- ation Cervical Myelopathy Evaluation Questionnaire (JOACMEQ): part 4. Establishment of equations for severity scores. Subcommittee on low back pain and cervical myelopathy,evaluation of the clinical outcome committee of the Japanese Orthopaedic Association [J]. J Orthop Sci,2008,13(1) :25-31.
  • 3Fairbank J,Couper J,Davies J,et al. The Oswestry low back pain questionnaire[J]. Physiotherapy, 1980,66 (8) : 271-273.
  • 4Choi G,Lee SH,Lokhande P,et al. Percutaneous endoscopic ap- proach for highly migrated intracanal disc herniations by foramino- plastic technique using rigid working channel endoscope [J]. Spine, 2008,33(15) :508-515.
  • 5MacGregor AT, Andrew T, Sambrook PN, eta/. Structural, psychologl- cal,and genetic influences on low back and neck pain:a study of adult female twlns[J]. Arthritis Rheum ,2004,51(2): 160-167.
  • 6Guo TM,Liu M,Zhang YG,et al. Association between caspase-9 promoter region polymorphisms and discogenic low back pain [J]. Connective Tissue Res,2011,52(2): 133-138.
  • 7Freemont A.I,Peacock TE,Goupille P,et a/. Nerve in growth into diseased intervertebral disc in chronic back pain [.J]. Lancet, 1997,350:178-181.
  • 8Saifuddin A, Braithwaite I, White J, et al. The value of lumbar spine magnetic resonance imaging in the demonstration of anular tears [J]. Spine, 1998,23(4) :453-457.
  • 9Weiler C, Nerlich AG, Bachmeier BE, eta/. Expression and distribu- tion of tumor necrosis factor in human lumbar intervertebral discs:a study in surgical specimen and autopsy controls [J]. Spine,2005130 (1) :44-54.
  • 10刘永征,李成权,徐强,王卫忠,倪德新.CT引导下椎间盘造影后亚甲蓝注射治疗椎间盘源性下腰痛[J].中国骨与关节损伤杂志,2011,26(3):227-228. 被引量：12

二级参考文献18

  • 1彭宝淦,侯树勋,吴闻文,郭继东,李振宙,张健.椎间盘内亚甲蓝注射治疗椎间盘源性下腰痛[J].中华医学杂志,2006,86(11):782-784. 被引量：27
  • 2肖少雄,夏平,熊伟.射频消融髓核成形术治疗腰椎间盘突出症的疗效分析及评价[J].中国中医骨伤科杂志,2006,14(2):50-51. 被引量：13
  • 3张继东,夏群,苗军.椎间盘源性腰痛的诊断方法及其临床价值[J].中华骨科杂志,2007,27(3):217-220. 被引量：23
  • 4Adams MA,Dolan P,Hutton WC.The stages of disc degeneration as revealed by discograms.J Bone Joint Surg(Br),1986,69:36.
  • 5Schwarzer AC, Aprill CN, Derby R,et al.The impact of spinal problems on the health status of patients: have we underestimated the effect. Spine, 1995,20(17): 1878.
  • 6Yoshida H,Fujiwara A,Tamai K,et al.Diagnosis of symptomatic disc by magnetic resonance imaging: T2-weighted and gadolinium DTPA enhanced T1-weighted magnetic resonance imaging. J Spinal Disord Tech, 2002,15:193.
  • 7Carragee EJ, Lincoln T, Parmar VK,et al,A gold standard evaluation of the "Discogenic pain" diagnosis as determined by provacative discography.Spine, 2006, 31:2115.
  • 8Carragee E,Paragioudakis S J, Khurana S.Lumbar high-intensity zone and discography in subjects without low back problems.Spine, 2000,25(23):2987.
  • 9Lim CH,Jee WH,Son BC,et al. Discogenic lumbar pain:association with MR imaging and CT discography. Eur J Radiol, 2005,54:431.
  • 10Macanab J.Negative disc-exploration:An analysis of the causes of nerve root involvement in 68 patients.J Bone Joint Surg (Am), 1971,53 : 891-903.

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中国骨与关节损伤杂志
2013年 第3期

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