经皮穿刺射频靶点热凝治疗腰椎间盘突出症530例观察  

Clinical study of percutaneous radiofrequency target thermocoagulation in treatment for lumbar disc herniation

作　　者：孙荣华[1] 杨维权[1] 刘宇龙[1] 汤朝晖[1] 植致敏[1] 朱礼传[1] 刘大雄[1] 

机构地区：[1]解放军第85医院,上海200052

出　　处：《中国矫形外科杂志》2011年第19期1612-1614,共3页Orthopedic Journal of China

摘　　要：[目的]探讨经皮射频靶点热凝技术治疗腰椎间盘突出症的疗效。[方法]530例腰椎间盘突出症患者采用射频靶点热凝手术,采用视觉模拟评分(VAS)和MacNa评价法比较疗效。[结果]本组530例腰椎间盘突出症患者随访6个月,术前和术后VAS评分比较有显著性差异(P<0.05),优良率84.4%。术中无神经损伤等并发症。[结论]经皮射频靶点热凝技术是一种可供选择的治疗腰椎间盘突出症有效的、安全的微创手术,提高疗效的关键是严格掌握适应证并按程序仔细操作,但不能替代传统减压内固定手术。[Objective]To observe the clinical effects of radiofrequency target thermocoagulation in treatment for lumbar disc herniation. [Methods]Totally 530 cases with lumbar disc herniation were treated with radiofrequency ablation,the effects were assessed with visual analoque scale（VAS）and MacNa. [Results]All cases were fellowed for 6 months,the comparision of the VAS scores before and after operation were significantly different（P0.05）,no case showed complication of the nerve injury. [Conclusion]Radiofrequency target thermocoagulation is an effective,safe,mini-invasive for lumbar disc herniation.But it could not substitute opened lunbar discectomy and interuae fixation.

关 键 词：射频 热凝 靶点治疗 腰椎间盘突出 

分 类 号：R681.53[医药卫生—骨科学]