摘要
目的探讨侧入路水平穿刺单极射频热凝纤维环修补术治疗盘源性腰痛临床疗效。方法16例患者DSA引导下将射频套管针侧入路水平穿刺,到达椎间盘后缘行热凝纤维环修补。患者于术前,术后1周、1个月、6个月及12个月时行腰痛VAS评分,术后末次VAS评分时按照改良Mac-Nab评定标准,评价临床疗效。结果 16例患者腰痛VAS评分,术前与术后比较,差异有统计学意义(P<0.05),术后末次VAS评分时,根据Macnab评定标准进行疗效评价,优12例(75%),良4例(25%),优良率100%。结论侧入路水平穿刺单极射频热凝纤维环修补术适用于L3-4、L4-5盘源性腰痛患者,手术安全性高,创伤小,疗效确切。
Objective To investigate clinical effect of percutaneous radiofrequency thermocoagulation by lateral approach and anulus fibrosus repair for lumbar discogenic pain. Methods A total of 16 patients suffered from discogenic pain was operated with percutaneous radiofrequency thermocoagulation and anulus fibrosus repair by lateral approach. Low back pain were assessed prior to surgery and reassessed at intervals of 1 week, 1 month,6 month and 1 year after surgery using visual analogue scale （VAS） questionnaire. MacNab criteria was also used for assessment of clinical results. Results According to VAS,low back pain of all patients was relieved compared with that before operation with significant statistical difference （P〈0.05）. At the last follow-up,according to MacNab criteria,there were 12 cases with excellent results （75%） and 4 cases with good results （25%）. Conclusion Percutaneous radiofrequency thermocoagulation and anulus fibrosus repair by lateral approach is an ideal choice for patients with L3-4 and L4-5 discgenic pain. This technique is minimal invasive with safety and definite clinical effect.
出处
《颈腰痛杂志》
2013年第3期224-227,共4页
The Journal of Cervicodynia and Lumbodynia
关键词
盘源性腰痛
射频热凝
手术入路
discogenic pain
radiofrequency thermocoagulation
surgical approach
