摘要
目的评价以腰椎小关节为靶位治疗顽固性腹股沟疼痛的可行性及疗效。方法选择经局部注射治疗无效的腹股沟疼痛患者34例，在有压痛的腰椎小关节行银质针及椎旁神经阻滞治疗，观察疗效及治疗关节的节段分布。结果治疗后1周的有效率为100％（34／34例），优效率85．3％（29／34例）；治疗后3个月时的有效率为97％（33／34例），优效率91．2％（30／34例）。治疗关节分布在T12～L5之间，越接近L2～3关节治疗的病例数越多。结论腰椎小关节紊乱可引起局限性腹股沟疼痛，其中L2～3及邻近关节是病变的高发节段，腰椎椎旁神经阻滞及银质针对治疗腰椎小关节紊乱引起的腹股沟疼痛有显著疗效。
Objective To evaluate the feasibility and efficacy of the therapeutic target injection in lumbar facet joints in the treatment of inguinal region pain. Methods Thirty-four patients with inguinal region pain without pain relief by local groin injection were selected. Never block and silver needle therapy were performed through tenderness point in lumbar facet joint targets. The efficacy and the segmental distribution of the treatment joint were observed. Results The effective rate and excellent rate were 100% （34/34 cases） and 85.3% （29/34 cases） respectively at 1 week after the treatment, 97% （33/34 cases） and 91.2% （30/34cases） at 3 month after the treatment. The seg- mental distribution was in lumbar facet joint range form T12 to L5, especially at the L2-3. Conclusion The lumbar facet joints disorder can lead to groin pain, especially at the L2-3. Never block and sil- ver needle therapy in lumbar facet joint targets is an effective method for the treatment of inguinal re- gion pain.
出处
《实用疼痛学杂志》
2014年第5期380-382,共3页
Pain Clinic Journal
