针刀治疗腰椎间盘突出症两种径路穿刺成功率的临床观察  

Clinical Observation on Success Rates of Two Kinds of Puncture Acupotomy Therapy Protrusion of Lumbar Intervertebral Disc

作　　者：周建斌[1] 刘光东[1] 李开平[2] 徐小柳 张莹莹[2] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院疼痛科,江苏南京210014 [2]南京中医药大学,江苏南京210046

出　　处：《辽宁中医杂志》2015年第11期2186-2188,共3页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:研究椎板后间隙径路和椎间孔径路针刀治疗腰椎间盘突出症时的穿刺成功率。方法:将66例腰椎间盘突出症病人(78个间隙)随机分为两组:椎板后间隙径路组(A组)和椎间孔径路组(B组)。患者在CT监测下行针刀穿刺,统计一次性穿刺成功率。结果:一次性穿刺成功率:L4-5为A组80.77%,B组96.30%,差异有显著性;L5-S1为A组94.74%,B组76.47%,差异有显著性。结论:针刀治疗腰椎间盘突出症径路选择:L4-5选择椎间孔径路,L5-S1选择椎板后间隙径路。Objective： To observe the success rate of gap after vertebra and intervertebral aperture road of acupotomology in treatment of lumbar intervertebral disc protrusion puncture. Methods： 66 cases of lumbar（ 78 clearancs） eintervertebral disc protrusion were divided into 2 groups： gap after vertebra group（ group A） and intervertebral aperture group（ group B）. Monitoring under CT,the acupotomy puncture was carried out and the success ratio was analyzed. Results： The success rate of puncture： L4- 5：group A 80. 77% and group B 96. 30%,with significant difference; L5- S1： group A 94. 74% and group B76. 47%. There are significant differences. Conclusion： Acupotomy route choice： treatment of lumbar intervertebral disc protrusion at L4- 5chooses intervertebral aperture road and L5- S1 gap after vertebra.

关 键 词：针刀 穿刺径路 成功率 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]