摘要
目的观察超声引导下腰脊神经后支射频热凝术(RFTC)联合体外冲击波(ESW)治疗慢性非特异性下腰痛(CNLBP)的临床疗效。方法CNLBP患者60例随机分为三组,每组20例。RE组采用超声引导下RFTC+ESW治疗;R组采用超声引导下RFTC治疗;E组采用ESW治疗。评估治疗前及治疗后1、3、6个月时的VAS疼痛评分和日本骨科协会(JOA)评分,计算治疗后1、3、6个月时的治疗优秀率和优良率,记录治疗相关并发症。结果与治疗前比较,三组治疗后1个月时的VAS疼痛评分均降低,JOA评分均升高(P<0.05)。与治疗前比较,RE组和R组治疗后3个月时的VAS疼痛评分降低,JOA评分升高(P<0.05)。与治疗前比较,RE组治疗后6个月时的VAS疼痛评分降低,JOA评分升高(P<0.05)。RE组治疗后6个月时的VAS疼痛评分低于R组和E组,JOA评分高于R组和E组(P<0.05)。治疗后6个月时,RE组治疗优秀率和优良率均高于E组(80%vs.40%和85%vs.65%)(P<0.05)。三组均未发生神经损伤、皮肤损伤、中毒反应和穿刺点感染等治疗相关并发症。结论超声引导下RFTC联合ESW治疗CNLBP近期疗效满意,且无明显不良反应。
Objective To observe the clinical efficacy of ultrasound-guided radiofrequency thermocoagulation(RFTC)of the posterior branch of lumbar spinal nerve combined with extracoporeal shock wave(ESW)in the treatment of the patients with chronic nonspecific low back pain(CNLBP).Methods Sixty patients diagnosed as CNLBP were randomly divided into three groups with 20 cases each.The patients in group RE were treated by ultrasound-guided RFTC+ESW,those in group R were treated by ultrasound-guided RFTC and those in group E were treated by ESW.The VAS pain scores and Japanese orthopaedical association(JOA)scores were evaluated at the time points of before treatment(T0)and one month(T1),three months(T2)and six months(T3)after treatment.The treatment excellent and good rates at T1,T2 and T3 were calculated.The treatment-related complications were recorded.Results Compared with before treatment,the VAS pain scores were decreased and JOA scores were increased at T1 in three groups(P<0.05).Compared with before treatment,the VAS pain scores were decreased and JOA scores were increased at T2 in groups of RE and R(P<0.05).Compared with before treatment,the VAS pain scores were decreased and JOA scores were increased at T3 in group RE(P<0.05).The VAS pain scores at T3 in group RE were lower,while JOA scores were higher than those in groups of R and E(P<0.05).The treatment excellent and good rates at T3 were higher in group RE than those in group E(80%vs.40%and 85%vs.65%)(P<0.05).There were no treatment-related complications such as nerve injury,skin lesion,toxic reaction or infection in the three groups.Conclusion The short term efficacy of ultrasound-guided RFTC of the posterior branch of the lumbar spinal nerve combined with ESW is satisfied without obvious treatment-related complications in the patients with CNLBP.
作者
杨小林
任映梅
周桂云
孙玉峰
章婷婷
YANG Xiaolin;REN Yingmei;ZHOU Guiyun(Department of Anesthesiology,Affiliated Rugao Hospital,Nantong University,Rugao 226500,CHINA)
出处
《江苏医药》
2023年第12期1216-1219,共4页
Jiangsu Medical Journal
基金
南通市卫生健康委员会科研立项课题(MB2019045)
南通市市级科技计划(指导性)项目(MSZ19142、MSZ2022099)
如皋市科技公关计划(指令性)项目[SRG(22)1086]
江苏省高校重点实验室开放课题资助项目(XZSYSKF2022036)
江苏健康职业学院校级立项课题面上项目(JKC2022055)。
关键词
非特异性下腰痛
射频热凝术
体外冲击波
腰脊神经
超声引导
Nonspecific low back pain
Radiofrequency thermocoagulation
Extracoporeal shock wave
Lumbar spinal nerve
Ultrasound guidance
