摘要
目的分析采用Disc—FX微创手术系统下行髓核摘除、射频消融和纤维环成型的“三合一”方法治疗椎间盘源性腰痛的临床疗效。方法2011年2月至2012年5月，对35例椎间盘源性腰痛患者行Disc—FX通道系统辅助下的“三合一”治疗，其中男23例，女12例；年龄27～56岁，平均36．5岁。对比分析治疗前和术后1周、6个月及末次随访时VAS评分及Oswestry评分。结果手术时间25～45min，平均29min。术后随访6～18个月，平均14．8个月。术后未发现手术相关并发症。术后1周、6个月以及末次随访时VAS评分分别为：（0．954-0．58）分、（1．15±0．60）分和（1．05±0．66）分，与术前VAS评分（6．70±1．26）分相比，差异有统计学意义（P〈0．05）；Oswestry评分分别为（8．3±5．7）分、（8．5±4．9）分、（8．6±4．5）分，与术前（19．9±6．8）分相比，评分结果比较差异均有统计学意义（P〈0．05）。有1例患者术后2个月时复发再次手术。结论Disc—FX系统辅助下的“三合一”技术治疗椎间盘源性腰痛近期疗效满意，尚需增加观察例数，其远期效果需进一步观察。
Objective To study the clinical efficacy of the 3-in-1 technique of Disc-FX system, including： discectomy, radiofrequency ablation and annuloplasty for discogenic low back pain. Methods From February 2011 to May 2012, 35 patients with the discogenic low back pain were treated discecto-my, radiofrequency ablation and annuloplasty by Disc-FX system, cluding 23 males and 12 females with an average age of 36. 5 years old （ range, 27-56 years old）. The visual analogue scale （VAS） scoring and Oswestry scoring system were applied to evaluate the pain at preoperative, postoperative 1 week, 6 months, and the final follow-up. The Oswestry score was also evaluated. They were analyzed retrospec- tively. Results All the patients were followed up for average 14. 8 months （range from 6 to 18 months）. The operative time averaged 29 min （range, 25 - 45 rain）. No complication was found dur-ing the follow-up time. The VAS score of preoperative was （6.70 ± 1.26） scores, VAS score of pain at postoperative 1 week, 6 months,and final follow-up were （0.95 ± 0. 58）scores, （1.15 ± 0. 60）scores, （ 1.05 ± 0. 66） scores respectively. The postoperative VAS of pain decreased significantly compared with that of preoperative. The Oswestry score of preoperation was （ 19.9 ± 6. 8） scores, postoperative 1 week, 6 months, and final follow-up were （8.3 ± 5.7） scores, （8.5 ± 4.9） scores, （8.6 ± 4. 5） scores respec-tively. It was significantly compared with that of preoperative also. Conclusions Disc-FX system,which collected three surgical tec procedure, provides a discogenic low back pain. clinical outcomes during a que in new choice one for It give satisfactory short-term follow up,but for the long term clinical outcomes, it remains unknown.
出处
《中国实用医刊》
2013年第19期65-67,共3页
Chinese Journal of Practical Medicine
关键词
腰痛
椎间盘切除术
经皮
微创
Back pain
Diskectomy
Percutaneous
Minimal invasive
