DSA引导下背根神经节脉冲射频术联合神经根阻滞治疗腰腿痛临床疗效探讨  

作　　者：邹聪[1] 何云武[1] 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421001

出　　处：《当代医学》2014年第6期1-3,共3页Contemporary Medicine

基　　金：湖南省卫生厅项目(B 2011-055)

摘　　要：目的观察背根神经节脉冲射频联合神经根阻滞治疗神经根性腰腿痛的临床疗效。方法对48例经保守治疗无效的神经根性腰腿痛患者,行背根神经节脉冲射频治疗联合神经根阻滞治疗。观察患者治疗前后3 d、1个月、6个月时疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI),并进行分析。结果术前VAS为(6.5±0.7)分,术后3 d、1个月和6个月的平均VAS分别为(2.3±0.6)分、(2.4±0.5)分和(2.5±0.8)分;与术前相比,术后3 d、1个月和6个月的VAS显著降低(P<0.05);术后3 d、1个月和6个月的VAS之间差异无统计学意义。术前ODI(%)为(60±6.0)%,术后3 d、1个月和6个月的ODI(%)分别为(18±6.0)%、(22±4.0)%和(25±3.0)%;与术前相比,术后3 d、1个月和6个月的ODI显著降低(P<0.05);术后3 d、1个月和6个月的ODI之间差异无统计学意义。所有患者治疗后无严重并发症。结论腰骶部背根神经节脉冲射频联合神经根阻滞治疗对神经根性疼痛有良好治疗作用,长期疗效需进一步研究。Objective To observe the efficacy of pulsed radiofrequency treatment of the lumbsacral dorsal nerve root combined nerve root block as a therapy to reduce symptomatic pain in patients with chronic spinal pain radiating to the leg. Methods In this retrospective study, 48 patients with radicular pain who have experienced conservative treatment were evaluated after undergoing pulsed radiofrequency treatment of the dorsal root combined nerve root blocked. Visual Analogue Scale（VAS） and Oswestry Disability Index （ODI） were recorded at the time ofpre-treatment and 3 d.1 m. 6 m after the treatment. Results The VAS ofpre-treatment and 3 days, 1 month and 6 months after the treatment were （6.54±0.7）, （2.3 ±0.6）, （2.4±0.5）and （2.5±0.8） respectively. There were significant difference in VAS compared with pre-treatment though no obvious difference in 3 days, 1 month and 6 months after the treatment. The ODI（%） ofpre-treatment and 3 days, 1 month and 6 months after the treatment were （60±6.0）%,（18±6.0）%,（22±4.0）% and （254±3.0）% respectively. There were significant difference in ODI compared with pre-treatrnent （P〈0.05）, and no obvious difference in 3 days, i m and 6 m after the treatment. Conclusion Dorsal nerve root pulsed radiofrequency combined nerve root blocked in the treatment of in patients with chronic spinal pain that radiates to the leg appears to be useful and safe therapy. Future prospective studies need to be done for the long-term effects.

关 键 词：脉冲射频 神经根阻滞 背根神经节 腰腿痛 神经性疼痛 

分 类 号：R681.53[医药卫生—骨科学]