射频热凝靶点消融术治疗颈椎间盘突出症30例临床分析  

CLINICAL ANALYSIS OF TREATING PROPLASE OF CERVICAL INTERVETEBRAL DISC WITH RADIOFREQUENCY THERMOCOAGULATION AND TARGET ABLATION OF 30 CASES

作　　者：彭长征 余玉玲 雷云国 

机构地区：[1]东莞市东城医院疼痛科,广东东莞523007

出　　处：《承德医学院学报》2017年第4期289-291,共3页Journal of Chengde Medical University

基　　金：2015年东莞市医疗卫生科技计划一般项目(2015105101101)

摘　　要：目的:观察应用射频热凝靶点消融术治疗颈椎间盘突出症的临床疗效。方法:我院确诊的颈椎间盘突出症患者30例均采用射频热凝靶点消融术进行治疗,分别于治疗前、后采用VAS评分评价患者的疼痛程度,Barthel指数评定量表评价患者的日常生活能力(ADL);于术后1个月、3个月评价患者临床治疗优良率。结果:30例患者术后1天、1周、1个月的VAS评分均明显低于术前,术后1个月、3个月的ADL评分均明显高于术前,治疗前后比较差异具有统计学意义(P<0.05)。30例患者术后随访1个月、3个月的治疗优良率分为90.0%(27/30)和93.3%(28/30)。结论:射频热凝靶点消融术治疗颈椎间盘突出症能有效缓解患者疼痛和提高患者日常生活能力,临床疗效确切。Objective： To observe the clinical effects of treating proplase of cervical intervetebral disc with radiofrequency thermocoagulation and target ablation. Methods： 30 cases of proplase of cervical intervetebral disc patients in our hospital were all treated with radiofrequency thermocoagulation and target ablation. The VAS score and Barthel index were used to evaluate the pain degree and ability of daily life （ADL） of patients respectively before and after trealment; the excellent-effective rate of patients was evaluated 1-month and 3-month after treatment. Results： Compared with that before treatment, lhe VAS score of 30 patients 1 day, 1 weekand 1 month after treatment were all decreased, while theADLscorewere allhacteased （P〈0.05）. The excellent-effective rate of 30 patients 1 month, 3 months after aeatment was respectively 90.0% （27/30） and 93.3% （28/30）. Conclusions： Treating proplase of cervical intervetebral disc with radiofrequency thermocoagulation and target ablation can relieve pain and improve the ability of daily life effectively, so has definite curative effects.

关 键 词：颈椎间盘突出症 射频热凝靶点消融术 临床疗效 日常生活能力 

分 类 号：R681.5[医药卫生—骨科学]