C型臂X线引导下侧隐窝阻滞与骶管阻滞治疗单侧型腰椎间盘突出症的疗效比较  

Comparison of the efficacy of lateral recess block under C-arm fluoroscopy with sacral block on the patients with unilateral lumbar intervertebral disc herniation

作　　者：王建光[1] 朱新杰[1] 蔡明珍[1] 徐华琴[1] 周子超 徐振兴[1] 翁浩[1] 

机构地区：[1]上海市第六人民医院奉贤分院疼痛门诊,201400

出　　处：《实用疼痛学杂志》2011年第6期407-410,共4页Pain Clinic Journal

摘　　要：目的 评价C型臂X线机引导下侧隐窝阻滞与骶管阻滞治疗单侧型腰椎间盘突出症的疗效.方法 选择单侧突出型腰椎间盘突出症患者60例,随机分为两组（N=30）：C型臂X线机引导下患侧腰椎旁侧隐窝阻滞治疗组（C组）与骶管阻滞治疗组（D组）.用药均为0.66%利多卡因加复方倍他米松,7 d注药1次,最多3次.记录注射次数及治疗前、后1周、1个月及3个月时的视觉疼痛模拟评分（VAS）与术后3个月时改良MacNab疗效评定.结果 与治疗前相比,两组患者在治疗后1周、1个月时的VAS评分下降（P〈0.05）;与D组相比,C组治疗后3个月时疗效评定更好（P〈0.05）,且注射次数少（P〈0.05）,两组均未见并发症.结论 与骶管入路阻滞法相比,C型臂X线机引导下侧隐窝阻滞治疗可更好更快地缓解单侧型腰椎间盘突出症的症状.Objective To compare the efficacy of lateral recess block with sacral block under C -arm fluoroscopy on the patients with unilateral lumbar intervertebral disc herniation. Methods Sixty patients with unilateral lumbar intervertebral disc herniation were randomly divided into two groups （n=30） ： lateral recess block group （Group C） and sacral block group （Group D）. The pa- tients received 0. 66% lidoeaine and betamethasone in the two groups, once every 7 days and 3 times for a course. VAS and modified MacNab were recorded before the treatment and 1 week, 1 month and 3 months after the treatment, and the number of therapeutic injection was also recorded. Results Compared with pretreatment, VAS was significantly decreased at 1 week, 1 month after the treat- ment in the two groups （P〈0.05）, the therapeutic efficacy was better in group C than that in group D at 3 months after the treatment （P〈0.05）, and the number of injection was less in group C （P〈 0.05）. No complications were found in the two groups. Conclusion The efficacy of lateral recess block under C-arm fluoroscopy was better than that of sacral block for the treatment of patients with unilateral lumbar intervertebral disc herniation.

关 键 词：腰椎间盘突出症 侧隐窝 麻醉 脊尾 注射 硬膜外 

分 类 号：R681.53[医药卫生—骨科学]