摘要
目的探讨经皮穿刺脊神经根封闭术在腰腿痛患者定位诊断中的应用价值。方法选择2017年1～12月我院收治的接受经皮穿刺脊神经根封闭术治疗的腰腿痛患者56例作为研究对象,对其临床诊疗资料进行回顾性分析,比较术前、术后患者的VAS、JOA评分。结果本组患者术前均接受MRI检查,经皮穿刺脊神经根封闭术对患者患处定位的准确率显著高于MRI检查(P<0.05)。术后7 d、3个月的VAS评分、JOA评分均较术前明显改善(P<0.05);术后7 d、3个月的VAS评分、JOA评分比较,差异无统计学意义(P>0.05)。结论对于定位不明确的腰腿痛患者,术前通过经皮穿刺脊神经根封闭术可以实现准确的定位诊断,可为临床治疗方式的选择提供更可靠的参考依据,对提高临床治疗效果具有十分重要的意义。
Objective to evaluate the application value of percutaneous puncture spinal nerve root sealing in locating diagnosis of patients with lumbago and leg pain.Methods Fifty-six patients with lumbago and leg pain received the percutaneous puncture spinal nerve root sealing treated in our hospital from January to December2017were selected as study objects and their clinical data of clinical diagnosis and treatment were analyzed retrospectively,and VAS and JOA score of patients before and after operation were compared.Results All patients received MRI examination before operation.The accuracy rate of location on affected area in patients of percutaneous spinal nerve root sealing was significantly higher than that of MRI examination(P<0.05).The VAS score and JOA score in7days and3months after operation were significantly improved compared with before treatment(P<0.05).There was no significant difference in VAS score and JOA score7days and3months after operation in patients(P>0.05).Conclusion For patients with lumbago and leg pain with unclear location,preoperative percutaneous puncture spinal nerve root sealing can achieve accurate location diagnosis,can provide a more reliable reference for the choice of clinical treatment,and it is of great significance for improving the clinical treatment effect.
作者
周友华
ZHOU You-hua(Department of Orthopedics, the First People′s Hospital of Fuzhou City, Jiangxi Province, Fuzhou 344000,China)
出处
《中国当代医药》
2018年第33期92-94,共3页
China Modern Medicine
基金
江西省抚州市社会发展指导性科技计划项目(抚科计字[2017]12号序列号30)
关键词
腰腿痛
经皮穿刺脊神经根封闭术
定位诊断
治疗
Lumbago and leg pain
Percutaneous puncture spinal nerve root sealing
Location diagnosis
Treatment
