腰椎旁阻滞小针刀牵引治疗腰椎间盘突出症130例报告  

Comparison of four different therapies for prolapse of lumbar intervertebral disk

作　　者：李哲敏 梁秀萍 王蓉刚 李文才 

机构地区：[1]河北省河间市华北石油采油三厂医院疼痛门诊,062450 [2]华北石油综合三处医院麻醉科

出　　处：《实用疼痛学杂志》2005年第3期161-163,共3页Pain Clinic Journal

摘　　要：目的比较和评价4种方法治疗腰椎间盘突出症的疗效。方法130例腰椎间盘突出症患者,男77例,女53例,年龄28-60岁,根据治疗方法不同随机分为4组。A组(40例)采用腰椎旁神经阻滞治疗。B组(20例)采用小针刀松解治疗,C组(20例)采用腰椎牵引治疗,D组(50例)采用以上3种方法综合治疗。治疗后随访2-3年,评定4组的治疗效果。结果A、B、C、D 4组治疗效果优良率依次为80.0%、20.0%、40.0%、96.0%,治愈率分别为62.5%、10.0%、15.0%、86.0%。D组优良率和治愈率与其他3组相比差异有统计学意义(P<0.05或0.01)。结论采用腰椎旁神经阻滞、小针刀松解及腰椎牵引综合治疗腰椎间盘突出症疗效优于单一治疗。Objective To compare the methods and effects of treatment for prolapse of lumbar in-tervertebral disk with lumbar paravertebral block, small knife-needle, lumbar vertebrae traction and combined these three methods. Methods 130 patients (77 male, 53 female) aged 28-60yr with prolapse of lumbar intervertebral disk were randomly assigned to four groups. The patients in group A (n=40) were treated with lumbar paravertebral block, group B (n=20) with small knife-needle, group C (n=20) with lumbar vertebrae traction and group D (n=50) with above three methods combined. The efficacy were evaluated and follow up 2-3yr. Results Excellent and good results in group A, group B, group C and group D were 80.0%, 20.0%, 40.0% and 96.0% respectively, and cure rate were 62.5%, 10.0%, 15.0% and 86.0% respectively. There were statistical differences (P<0.05 or 0.01) in the excellent and good rates, and the cure rates between group D and the other groups. Conclusion The therapeutic effect of combined lumbar paravertebral block, small knife-needle and lumbar vertebral traction were better than that of single method.

关 键 词：腰椎间盘突出症 腰椎旁阻滞 小针刀松解治疗 神经阻滞治疗 腰椎牵引治疗 椎旁神经阻滞 牵引综合治疗 治疗效果 治疗后随访 治疗方法 0.05 单一治疗 优良率 治愈率 60岁 统计学 

分 类 号：R681.5[医药卫生—骨科学]