背根神经节脉冲射频术与椎间盘标准射频消融术治疗腰椎间盘突出症的疗效  

Effect of pulsed radiofrequency in lumbar dorsal root ganglion and standard radiofrequency ablation in lumbar intervertebral disc to treat lumbar intervertebral disc herniation

作　　者：陈素昌[1] 谢斌[1] 宋西正[1] 王喜连[1] 周忠群[1] 唐杰[1] 

机构地区：[1]南华大学附属第一医院疼痛科,湖南省衡阳市421001

出　　处：《实用疼痛学杂志》2016年第3期170-173,共4页Pain Clinic Journal

摘　　要：目的观察腰椎背根神经节脉冲射频术与腰椎间盘标准射频消融术对腰椎间盘突出症的疗效。方法腰椎间盘突出症患者60例，分别接受背根神经节脉冲射频术（A组）、腰椎间盘标准射频消融术（B组）及两种方法联合（C组）治疗。采用数字等级评分（NRS）、Oswestry功能障碍指数（ODI）评估手术前、手术后1个月及1年时的疼痛变化、生活自理能力及术后1年时的疼痛缓解度。结果3组患者在手术后1个月及手术后1年时的NRS评分及ODI评分均较术前明显降低，差异有统计学意义（P〈0．05）；A组和B组之间的NRS评分及ODI评分在各时间点差异无统计学意义（P〉0．05）；治疗后1个月及1年时C组与A组及B组相比NRS评分及ODI评分均较低，差异有统计学意义（P〈0．05）。在治疗后1年，C组的疼痛缓解度明显高于A组或B组，差异有统计学意义（P〈0．05）。结论腰椎背根神经节脉冲射频术及腰椎间盘标准射频消融术是治疗腰椎间盘突出症的两种安全有效的方法，两种方法联合应用对腰椎间盘突出症的疗效更佳。Objective To compare the effect of pulsed radiofrequency in lumbar dorsal root ganglion and standard radiofrequency ablation in lumbar intervertabral disc to treat lumbar intervertebral disc herniation. Methods Sixty patients were randomly divided into group A（lumbar dorsal root ganglion with pulsed radiofre- quency）, group B （lumbar disc with standard radiofrequency ablation）and group C （combined the two methods）. NRS and ODI were analyzed before the treatment and at 1 month and 1 year after the treatment. The degree of pain relief was analyzed at the same time. Results Both NRS and ODI decreased at 1 month and 1 year after the treatment compared with pretreatment （P〈 0.05）. There was no significant difference in NRS and ODI between group A and B at any time points. Comparing group A and B, the NRS and ODI in group C decreased more obviously. The degree of pain relief in group C was obviously better than that in group A and B. Conclusion Both the pulsed radiofrequency in lumbar dorsal root ganglion and standard radiofrequency ablation in lumbar intervertebral disc are effective in the treatment of lumbar intervertebral disc herniation, and it is much better if combined them.

关 键 词：腰椎间盘突出症 背根神经节 脉冲射频 标准射频 数字等级评分 Oswestry 致残指数 

分 类 号：R687.3[医药卫生—骨科学]