CT引导治疗腰椎间盘突出引起的坐骨神经痛  

CT Guided Percutaneous Treatmant of Sciatica Due to Intervertebral Disc Hernia

作　　者：王纪龙 施养德 陈强 陈克敏[2] 

机构地区：[1]金山区中心医院放射科,上海201500 [2]上海第二医科大学瑞金医院放射科

出　　处：《放射学实践》2005年第5期407-409,共3页Radiologic Practice

摘　　要：目的总结CT引导治疗腰椎间盘突出引起的坐骨神经痛的方法及疗效。方法搜集以腰椎间盘突出为主要原因引起的坐骨神经痛87例。患者取俯卧位或侧卧位,在CT引导下用20G×100mm穿刺针,取侧旁穿刺进针,注射皮质类固醇等药物至硬膜外间隙。1个疗程为2周,治疗1～4次。术后无须住院。结果87例共治疗177次,穿刺成功率100%,无1例出血感染。效果好62例(71.3%),效果较好21例(24.1%),效果较差4例(4.6%)。结论CT引导治疗腰椎间盘突出引起的坐骨神经痛是一种易操作、微创伤、安全有效的非血管性介入治疗方法。Objective:To evaluate the technique and effect of CT guided treatment of sciatica due to intervertebral disc hernia.Methods:87 cases with sciatica due to intervertabral disc hernia were collected.In prone position or lateral recumbent position,with CT guidance and 20G×100mm puncture needle,the puncture with paramedian access was performed,and injection of corticosteroid into the epidural space was followed.A course of treatment was for 2 weeks,with treatment of 1～4 times.Hospitalization was not needed.Results:87 cases were treated in 177 times.The puncture was successful in all patients.No hemorrhage and infection was observed.The results were good in 62 cases (71.3%),fair in 21 cases (24.1%) and not favorable in 4 (4.6%).Conclusion:CT guided treatment of sciatica due to intervertebral disc hernia is a simple,minimally aggressive,safe and effective non-vascular interventional treatment method.

关 键 词：腰椎间盘突出 坐骨神经痛 非血管性介入 CT引导下 硬膜外间隙 皮质类固醇 穿刺成功率 出血感染 治疗方法 侧卧位 俯卧位 穿刺针 微创伤 

分 类 号：R681.53[医药卫生—骨科学] R277.754.2[医药卫生—外科学]