X光引导胸椎小关节注射治疗胸背痛的疗效观察  

THERAPEUTIC EFFECTIVENESS OF THORACIC FACET JOINT INTERVENTIONS IN CHRONIC THORACIC PAIN

作　　者：李晓宏[1] 李世杰[1] 黄翔[1] 富沛勇[1] 杨承祥[1] 

机构地区：[1]中山大学附属佛山医院疼痛科,佛山528000

出　　处：《中国疼痛医学杂志》2013年第6期354-357,共4页Chinese Journal of Pain Medicine

摘　　要：目的:评价小关节注射治疗胸背部疼痛的临床疗效及安全性。方法:60例经保守治疗无效的慢性胸背痛患者,随机分为超激光治疗组(S组,n=30)和介入治疗组(I组,n=30)。S组患者取俯卧位,超激光照射病变关节部位,每天1次,每次15 min,共14次;I组患者取俯卧位,在X光引导下确定病变小关节平面,穿刺针经皮正确无误到达胸椎后关节突关节间隙,到位后注射消炎镇痛液。对治疗后第1周、2周、1个月、3个月的VAS进行评分、生活质量改善情况及安全性进行评估。结果:与S组比较,I组治疗患者术后3个月的VAS评分较治疗前有显著性降低(P<0.05),且未发现有严重并发症。结论:小关节注射治疗胸背痛是一项操作简便、安全,疗效确切、可靠的微创介入治疗方法。Objective： To determine the clinical effectiveness of zygapophysial joint injections with fluoroscopy in managing chronic mid back or upper back pain of facet joint origin.Methods： A total of 60 patients were rando mized divided into two groups,with 30 patients in each of the super laser and facet joint interventions groups.All of the patients met the diagnostic criteria of thoracic facet joint pain by means of the inclusion criteria.Group S patients received thoracic facet joint with super laser,whereas Group I patients received thoracic facet joint intervention with bupivacaine and non-particulate betamethasone.The clinical efficacy were assessed by patients with visual analogue scale（VAS）.All outcomes were assessed at baseline,1 week,2 weeks,1 month,and 3 months after treatment.Results： In Group S,compared with baseline,patients showed significant pain relief and functional improvement at 1 week（P 0.05）But there were no significant pain relief after 2 weeks.In Group I,patients showed significant pain relief and functional improvement after facet joint injection,a significant change 3 months after treatment from baseline（P 0.05）Conclusions： Therapeutic thoracic facet joint injection may provide a management option for chronic function-limiting mid back or upper back pain of facet joint origin.

关 键 词：胸椎小关节 胸背痛 介入治疗 

分 类 号：R816.8[医药卫生—放射医学]