胶原酶并靶点射频治疗复发性腰椎间盘突出症  

Treatment of Recurrent Lumbar Intervertebral Disc Herniation with Target Radiofrequency Combined with Collagenase Injection

作　　者：林云[1] 徐清榜[1] 张学学[2] 张达颖[2] 翁泽林[1,2] 

机构地区：[1]华中科技大学同济医学院附属协和医院麻醉科,武汉430022 [2]南昌大学第一附属医院疼痛科,南昌330006

出　　处：《医药导报》2013年第10期1315-1317,共3页Herald of Medicine

摘　　要：目的观察介入下胶原酶注射联合靶点射频治疗复发性腰椎间盘突出症的疗效。方法选择收治的复发性腰椎间盘突出症患者52例，术中根据腰椎间盘出症术后瘢痕组织或突出髓核组织的间隙及不同形态选择穿刺路径，给予靶点射频，并椎间盘盘内或盘内外联合注射胶原酶。随访6～60个月，平均18个月，采用Macnab标准评定疗效。结果优13例（25．00％），良25例（48．08％），中10例（19．23％），差4例（7．69％），优良率73．08％。结论介入下胶原酶注射联合靶点射频是复发性腰椎间盘突出症的有效治疗方法之一。Objective To investigate the therapeutic effect of target radiofrequency combined with collagenase injection on recurrent lumbar disc herniation. Methods A total of 52 cases of recurrent lumbar disc herniation were enrolled. Different puncture paths were decided by scar tissue or herniated nucleus pulposus tissue gaps and forms. Patients received target radiofrequency with intradisc or intra-combined-extra disc collagenase injection. Patients were followed up for 6-60 months （average of 18 months） ,and curative efficacy was evaluated by using the Macnab criteria. Results The curative efficacy was excellent in 13 cases （25.00%）＇,good in 25 cases （48.08%） ,medium in 10 cases （ 19.23% ） and poor in 4 cases （7.69%）. The efficacy rated good and above reached 73.08%. Conclusion The intervention of collagenase injection combined with target radiofrequency is an effective treatment in recurrent lumbar disc herniation.

关 键 词：胶原酶 突出症 腰椎间盘 复发性 射频治疗 靶点 

分 类 号：R982[医药卫生—药品] R681.53[医药卫生—药学]