髓核消融和射频靶点热凝治疗腰椎间盘突出症的临床疗效观察  

Clinical efficacy of nucleus pulposus ablation combined with radiofrequency thermocoagulation for the treatment of lumbar intervertebral disc prolapse

作　　者：李达春 唐小松 梁德海 邹耀 黄凯 罗小兰 

机构地区：[1]广西玉林市桂南医院疼痛科,玉林市537005

出　　处：《微创医学》2015年第3期332-334,共3页Journal of Minimally Invasive Medicine

摘　　要：目的 探讨髓核消融联合射频靶点热凝治疗腰椎间盘突出症的临床疗效.方法 将腰椎间盘突出症患者92例分为治疗组和对照组,对照组46例单纯行射频靶点热凝术,治疗组46例行射频靶点热凝术联合髓核消融术,分别于术后24～72 h和6个月对患者进行Macnab评定,比较两组患者疗效.结果 治疗组术后24 ～72 h Macnab评定优良率为89.13％,6个月时优良率为95.65％;对照组术后24～72 h Macnab评定优良率为71.74％,6个月时优良率为82.61％,经统计学分析,差异具有统计学意义（P＜0.05）.两组病例均未见明显不良反应.结论 射频靶点热凝术联合髓核消融术治疗腰椎间盘突出症的疗效优于单纯应用射频靶点热凝术治疗,具有安全性、高效性、创伤小等特点,值得进一步应用推广。Objective To evaluate the clinical efficacy of nucleus pulposus ablation combined with ra- diofrequency thermocoagulation for lumbar intervertebral disc prolapse. Methods 92 patients with lumbar in- tervertebral disc prolapse were divided into the observation group （n = 46） and the control group （ n = 46）. Simple radiofrequency thermocoagulation was performed in the control group and nucleus pulposus ablation combined with radiofrequency thermocoagulation in the observation group. The efficacy was compared between two groups using MacNab criteria at 24 to 72 h and 6 months after the operation. Results At 24 to72 h and 6 months after the operation, 71.74% and 92.61% of patients in the observation group had good or excellent results compared with 71.74% and 82.61% of patients in the control group respectively according to the Mac- Nab criteria （P 〈 0.05）. No side effects were found in any of cases. Conclusions Nucleus pulposus abla- tion combined with radiofrequency thermocoagulation is a safe, high-effective and less invasive approach for patients with lumbar intervertebral disc prolapse, and is more effective than the simple radiofrequency thermo- coagulation. This approach is worthy of promotion.

关 键 词：髓核消融术 射频靶点热凝术 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]