等离子消融髓核成形术联合神经阻滞治疗椎间盘源性腰痛的临床观察  

The affection of percutaneous low-temperature disk plasma ablation and nerve block on lumbar disc herniation

作　　者：李卫星[1] 康健[1] 程亮[1] 梁芳[1] 刘波[1] 邹亿城[1] 陈海滨[1] 

机构地区：[1]广东省东莞市太平人民医院疼痛科,东莞523900

出　　处：《广州医药》2015年第2期13-15,共3页Guangzhou Medical Journal

基　　金：广东省科技厅科研计划项目:粤科规划字[2013]137(4)号

摘　　要：目的观察等离子消融髓核成形术联合神经阻滞治疗椎间盘源性腰痛的临床疗效。方法将183例椎间盘源性腰痛患者随机分为对照组91例、治疗组92例,分别予综合疗法联合神经阻滞治疗、等离子消融髓核成形术联合神经阻滞治疗,观察两组患者治疗前后目测类比疼痛(Visual Analog Scale VAS)评分、改良Stauffer-Coventry评定系统术后日常活动及满意率等指标。结果治疗组VAS评分和日常活动及满意率均优于对照组(P<0.05或P<0.001)。结论等离子消融髓核成形术联合神经阻滞治疗椎间盘源性腰痛疗效显著,值得临床推广。Objective To observe the effect of percutaneous low- temperature disk plasma ablation （PLDA） and nerve block （NB） on discogenic low back pain. Methods 183 patients were randomly divided into two groups： the control group （n =91 ） and the treatment group （n =92） . Corresponding methods were used to treat everyone, to observe two groups VAS be- fore and after the treatment, daily activities and satisfaction rate of improved Stauffer Coventry evaluation system etc. Results The VAS, daily activities and satisfaction rate of the treat group were distinctly more than that＇s of the control group （ P 〈 0. 05 or P 〈 0. 001 ） . Conclusion PLDA and NB has the therapeutic effects on the discogenic low back pain patients which is worth promoting.

关 键 词：等离子消融髓核成形术 神经阻滞 椎间盘源性腰痛 VAS评分 Stauffer-Coventry评定 

分 类 号：R681.5[医药卫生—骨科学]