X线引导下双极射频热凝治疗盘源性腰痛32例  

32 Cases of Bipolar Radiofrequency Thermocoagulation in the Treatment of Discogenic Low Back Pain Guided by X-ray

作　　者：邹聪[1] 何云武[1] 陈金生[2] 龙慧[1] 李威[1] 李晴[1] 

机构地区：[1]南华大学附属第二医院疼痛科,湖南衡阳421001 [2]广州医学院第二附属医院疼痛科

出　　处：《中南医学科学杂志》2013年第1期31-34,共4页Medical Science Journal of Central South China

基　　金：湖南省卫生厅项目(B2011-055)

摘　　要：目的研究双极射频热凝术治疗盘源性腰痛的临床治疗效果。方法 32例诊断为盘源性腰痛的患者,均在X线引导下行椎间盘双极射频热凝治疗。分别观察治疗前,治疗后3天,6月,1年视觉模拟评分(VAS),症状缓解率以及Oswestry功能障碍指数评分(ODI),同时观察出现的不良反应。结果治疗后3天、6月、1年疗效优良率为94%、84%、81%。患者术后VAS明显降低(P<0.05),术后3天症状缓解率为69%,ODI为18%;术后6月症状缓解率为62%,ODI为20%;术后1年症状缓解率为57%,ODI为24%。均较治疗前明显改善,差异有显著性(P<0.05);在各观察点差异无显著性(P>0.05),治疗过程中未出现严重不良反应。结论双极射频热凝术能改善盘源性腰痛患者功能状态,是治疗盘源性腰痛安全、有效的方法。Objective To research the clinical effect of the bipolar radiofrequency thermocoagulation in treating dis- cogenie low back pain. Methods 32 patients with diseogenic low back pain were treated with bipolar radiofrequency thermocoagulation guided by X-ray. VAS, the rate of symptom relief, Oswestry Disability Index and side-effect were recorded at the time of pre-treatment and 3d,6m, l year after the treatment. Results At 3d,6 m,lyear after treatment,the excel- lent rate on well rate were 94% , 84% , 81%. Compared with pre-treatment, VAS, the rate of symptom relief and ODI im- proved obviously （ P 〈 0. 05 ） , But there were no obvious differences at time of 3 d, 6 m, 1year after the treatment （ P 〉 0.05 ） and no serious side-effects. Conclusion The bipolar radiofrequeney thermocoagulation can relieve the pain and improve ODI, and it was a safe and effective therapy for discogenic low back pain.

关 键 词：双极射频 热凝 盘源性腰痛 

分 类 号：R681.55[医药卫生—骨科学]