射频椎间盘内电热凝术治疗腰椎间盘突出症的临床研究  

Clinical study of intradiscal electrical-thermal therapy in the treatment of lumbar disc herniation

作　　者：王德强[1] 舒春华[1] 李明娥[1] 张勇[1] 马念[1] 

机构地区：[1]山东省滨州医学院附属医院疼痛科,256603

出　　处：《实用疼痛学杂志》2006年第4期194-198,共5页Pain Clinic Journal

摘　　要：目的研究射频椎间盘内电热凝术治疗腰椎间盘突出症的临床效果。方法采用射频疼痛治疗系统进行射频椎间盘内电热凝术治疗腰椎间盘突出症28例,其中在C形臂X线引导下穿刺21例,在CT引导下穿刺7例。所有病例穿刺到椎间盘后缓慢置入热凝导管于合适位置,然后连接到发生器上,导管的温度以30 s升高1℃的速度在12．5 min内从65℃升高到90℃,并维持4 min。结果治疗后7 d和2个月的优良率分别为75．0％(21／28例)和82．1％(23／28例),两时间的优良率相比较差异无统计学意义(P>0．05)。结论射频椎间盘内电热凝术治疗腰椎间盘突出症是有效方法,且见效快、无副作用。Objective To study treatment efficacy of radiofrequency intradiscal electrical-thermal therapy for lumbar disc herniation. Methods Twinty eight patients with lumbar disc herniation were managed by radiofrequency intradiscal electrical-thermal therapy. There were 21 cases under the guidance of X- ray, and 7cases under computed tomography. The electrical-thermal catheter was connected to the Baylis Pain Management Generator,then the temperature of the catheter rised from 65℃ to 90℃ in 12.5 minutes and lasted for 4 minutes. Results The effects were scored 7days and 2 months after therapy, the excellent and good rates were 75.0% （21/28 cases） and 82.1% （23/28 cases） respectively. There was no statistically significant difference between 7days and 2 months after the therapy （ P 〉0.05 ）. Conclusion Radiofrequency intradiscal electrical-thermal therapy for treatment of lumbar disc herniation is an effective method,which relieves pain quickly and has little complications.

关 键 词：导管消融术 射频 电凝术 椎间盘移位 

分 类 号：R681.53[医药卫生—骨科学]