射频消融髓核成形术治疗颈椎间盘突出症  

Clinical study on percutaneous radiofrequency nucleoplasty treatment for cervical disc herniation

作　　者：李建炜[1] 张维成[1] 麦伟[1] 廖兴华[1] 颜志坚[1] 黄晓魏[1] 方文焕[1] 李智[1] 

机构地区：[1]湛江中心人民医院骨科,广东省湛江524037

出　　处：《中国基层医药》2011年第22期3053-3054,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨射频消融髓核成形术治疗颈椎间盘突出症的临床效果。方法回顾性分析应用射频消融髓核成形术治疗的183例颈椎间盘突出症患者资料，采用VAS评分及患者主观满意度评估其疗效。结果术后随访3个月至3年，平均1年。所有患者均未出现局部血肿、感染和血管神经损伤等并发症。术后1周症状缓解率58．4％，主观满意度优良率95．1％；末次随访时症状缓解率66．1％，主观满意度优良率85．8％。结论射频消融髓核成形术是治疗颈椎间盘突出症的有效措施，具有创伤小、安全、疗效佳等优点。Objective To explore the clinical outcomes of the percutaneous radiofrequency nucleoplasty in the treatment of cervical disc herniation. Methods 183 patients with cervical disc herniation were treated with percutaneous radiofrequency nucleoplasty. A retrospective analysis of 183 patients was made, and their effects were evaluated using the VAS and the subjective satisfactory degree of the patients. Results All cases were followed up for 3 to 36 months （average 12 months）. There were no complications observed such as hemorrhages, infections and nerve root injurys due to the procedure. One week after operation, symptom remission rate was 58.4% and perfect rate of subjective satisfaction was 95.1%. At final follow up,symptom remission rate was 66. 1% and perfect rate of subjective satisfaction was 85.8%. Conclusion Percutaneous radiofrequency nucleoplasty was an effective,minimally invasive and safe procedure to treat cervical disc herniation, and the operative treatment had shown better results.

关 键 词：射频消融髓核成形术 颈椎 椎间盘突出症 

分 类 号：R687[医药卫生—骨科学]