多靶点射频消融术治疗颈椎间盘突出症临床疗效分析  

Clinical report in treating cervical disc herniation by nucleoplasty of percutaneous radiofrequency abrasion

作　　者：卫秀洋[1] 陈勇忠[1] 周清碧[1] 王金星[1] 陈庆泉[1] 

机构地区：[1]福州总医院476医院骨二科,福建福州350007

出　　处：《中国医药导报》2013年第8期43-45,共3页China Medical Herald

基　　金：福建省科学技术厅青年人才项目(编号2006F3108)

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疗效。方法回顾2009年10月～2010年10月福州总医院476医院应用经皮穿刺多靶点射频消融髓核成形术治疗颈椎间盘突出症168例。按Macnab疗效评定标准和视觉模拟评分法(VAS),对比患者手术前后及随访时进行疗效评定。结果按Macnab疗效评分标准,术后即刻优76例,良64例,可22例,差6例,优良率为83.33%。本组术前VAS评分为(6.76±0.52)分,术后即刻为(2.15±0.58)分,术后3个月为(2.68±0.56)分,术后1年为(2.95±0.63)分,术后即刻、术后3个月、术后1年评分与术前比较差异有高度统计学意义(P<0.01)。结论射频消融髓核成形术治疗颈椎病具有操作简单、安全微创、并发症少、起效快及近、中期疗效满意等特点,是治疗轻度颈椎间盘突出症较好的方法。Objective To observe therapeutic effect of radiofrequency ablation nucleoplasty on cervical disc herniation. Methods From October 2009 to October 2010,168 patient with cervical disc herniation were analyzed NO.476 Hospital of PLA,who were treated by percutaneous multi-target radiofrequency ablation nucleoplasty treatment.Therapeutic effects were evaluated before and after surgery,3 month and 12 month by using the average scores of VAS and Macnab evaluation standard.Results All cases were followed-up from immediate postoperative to 12 months after operation.According to Macnab efficacy score,the immediate postoperative period were excellent in 76 cases,good in 64 cases,maybe 22 cases and poor in 6 cases,the total good rate of 83.33%.The preoperative VAS score was（6.76 ±0.52） scores,immediately after was（2.15 ±0.58） scores,3 months after surgery was（2.68 ±0.56） scores,after an annual was（2.95±0.63） scores.There were significant difference between preoperative surgery and intraoperative immediately after surgery,3 months after surgery,1 year after surgery（P 0.01）.Conclusion Nucleoplasty of percutaneous possesses many advantages,including simple manipulation,safe,minimally invasive,good efficacy,rapid recovery,which is a better method of treatment of mild cervical disc herniation.

关 键 词：颈椎间盘 射频消融 髓核成形术 

分 类 号：R681.5[医药卫生—骨科学]