低温等离子射频消融术与射频靶点热凝术治疗颈椎间盘突出症的临床疗效观察  

Clinical observation of coblation nucleoplasty and radiofrequency thermocoagulation in the treatment target for cervical disc herniation

作　　者：陈建卫[1] 李晓冰[1] 郭卫平[1] 吴智群[1] 

机构地区：[1]第四军医大学唐都医院介入放射科,陕西西安710038

出　　处：《实用放射学杂志》2012年第5期747-749,共3页Journal of Practical Radiology

摘　　要：目的 探讨低温等离子射频消融术与射频靶点热凝术治疗颈椎间盘突出症临床疗效的对比.方法 回顾性分析因颈椎间盘突出症住院80例患者的临床疗效,其中行低温等离子射频消融术38例,行射频靶点热凝术42例.比较2组术后3 d VAS评分、术后1月及术后6月的JOA评分.结果从患者术后3 d VAS评分,术后1月、6月JOA评分比较来看,低温等离子射频消融术与射频靶点热凝术对颈椎间盘突出症具有显著疗效.低温等离子射频消融术在术后3 d、1月的疗效优于射频靶点热凝术（P〈0.05）,而术后6月再次对患者进行随访发现,低温等离子射频消融术与射频靶点热凝术疗效无显著差别.结论 从短期评分结果来看,在治疗颈椎间盘突出症时低温等离子射频消融术后患者较射频靶点热凝术后患者反应轻,症状缓解快.从长期随访结果来看,低温等离子射频消融术与射频靶点热凝术疗效无统计学差异.Objective To analyze the different therapeutic effect between the eoblation nucleoplasty and radiofrequency thermo coagulation in the treatment target for cervical disc herniation. Methods The clinical efficacy of 80 cases with cervical disc herniation were retrospectively analysed. 38 cases treated with eohlation nucleoplasty and 42 cases treated with radiofrequency thermocoagula tion. VAS scores 3d later,JOA scores 1 month and 3 months postoperation were analysed comparatively between two groups. Results The results of VAS and JOA scores showed that the treatment of cervical disc herniation was of significant effect with coblation nueleoplasty and radiofrequency thermocoagulation in the treatment target,while the coblation nucleoplasty was more effective than the radiofrequency thermocoagulation at postoperative 3 d and 30 d （P〈0.05） ,there was no significant different between coblation nucleoplasty and the radiofrequency thermocoagulation at postoperative 180 d. Conclusion The patients with cervical disc herniation treated by coblation nucleoplasty have light reactions and can recovery quickly compared with radiofrequency thermocoagulation in the short-term,but the clinical efficacy has no significant difference between both coblation nucleopiasty and radiofrequency thermo- coagulation in the long-term.

关 键 词：低温等离子射频消融术 射频靶点热凝术 颈椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学] R815[医药卫生—外科学]