CT引导下低温等离子靶点消融治疗颈椎间盘突出症的效果观察  

Clinical observation of computed tomography guided percutaneous targeted coblation nucleoplasty in treatment of cervical intervetebral disc herniation

作　　者：赵治涛[1] 张增臻[1] 肖珂青 高宝峰[1] 阴祖栋[1] 李秀华[2] 

机构地区：[1]山东省交通医院麻醉疼痛科,山东济南250031 [2]潍坊医学院麻醉学系

出　　处：《实用放射学杂志》2016年第7期1106-1108,共3页Journal of Practical Radiology

摘　　要：目的：探讨 CT 引导下经皮穿刺低温等离子靶点消融治疗颈椎间盘突出症的临床效果。方法选择经 CT 或 MRI 检查明确诊断的颈椎间盘突出症患者50例,均行 CT 引导下经皮穿刺低温等离子靶点消融治疗。术后3个月进行随访,观察治疗效果。结果所有患者均术后随访3个月,依据 Macnab 疗效评定标准评定治疗效果。优19例（37.5%）,良29例（58.3%）,差2例（4.2%）,优良率92.5%,VAS 评分较术前明显降低（P 〈0.05）。结论CT 引导下经皮穿刺低温等离子靶点消融术是一种治疗颈椎间盘突出症安全、有效、微创的方法。Objective To investigate the effect of CT guided percutaneous targeted coblation nucleoplasty in treatment of cervical intervetebral disc herniation.Methods Fifty patients who were diagnosed with cervical intervetebral disc herniation by CT or MRI were received the treatment of CT guided percutaneous targeted coblation nucleoplasty and the follow-up check after operation.The effects according to Macnab therapeutic criteria and VAS method were evaluated and recorded before operation and after operation at the third day,2 weeks,3 months.Results All patients accepted follow-up three months after operation.The effects were assessed by Macnab therapeutic criteria：1 9 cases were excellent （37.5%）,29 cases good （58.3%）,2 cases bad （4.2%）,and the effective rate was 92.5%.The VAS scores in three months after operation were significantly lower than that before operation （P 〈0.05 ）. Conclusion Computed tomography guided percutaneous targeted coblation nucleoplasty is a safe,effective and minimally invasive method for treating cervical intervetebral disc herniation.

关 键 词：计算机体层成像 低温等离子消融 颈椎间盘突出症 

分 类 号：R814.42[医药卫生—影像医学与核医学] R815[医药卫生—放射医学]