射频热凝靶点消融术治疗腰椎间盘突出症的探讨  

Treatment of lumbar intervertebral disc protrusion by radiofrequency thermocoagulation and target ablation

作　　者：姚秀高[1] 周永高[1] 陈建龙[1] 

机构地区：[1]重庆三峡中心医院颈肩腰腿痛治疗中心,404000

出　　处：《实用疼痛学杂志》2006年第2期75-78,共4页Pain Clinic Journal

摘　　要：目的探讨射频热凝靶点消融术治疗腰椎间盘突出症的临床效果。方法随机选择腰椎间盘突出症患者50例,在CT或C形臂引导下穿刺到椎间隙靶点,再用神经射频仪将温度升高到80-90℃对靶点加热,且能够复制出疼痛来,治疗4个周期,每个治疗周期100 s。结果该组患者临床治疗效果满意,优级与良级共46例,优良率达92％。结论射频热凝靶点消融术是治疗腰椎间盘突出症的一种有效方法。Objective To study the clinical effects of radiofrequency thermocoagulation and target ablation on the lumbar intervertebral disc protrusion. Methods Fifty patients with lumbar intervertebral disc protrusion were treated with thermonucleolysis guided by CT or C - arm. The temperature was raised to 80-90℃ to heat the target,which can also duplicate the pains preexisted. The treatment course last for 4 cycles, 100s for one cycle. Results After the treatment,the satisfactory rate and excellency rate of clinical effect were 92% （46 patients）. Conclusion Radiofrequency thermocoagulation and target ablation is an effective method for treatment of lumbar intervertebral disc protrusion.

关 键 词：消融术 射频 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学] R745.11[医药卫生—外科学]