超声引导下针刀松解联合几丁糖关节腔注射治疗腰椎小关节紊乱  

Ultrasound Guided Acupotomy Combined with Medical Chitosan Injection for Treating Lumbar Facet Joint Disorder

作　　者：姚晖 朱瑜琪[2] 王楠[2] 朱立国 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]中国中医科学院眼科医院

出　　处：《中国中医骨伤科杂志》2017年第12期13-16,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金："2010;2011年中医药行业科研专项"项目;退行性腰椎滑脱症治疗康复一体化及推广应用研究(201107004)

摘　　要：目的:观察超声引导下针刀松解联合几丁糖关节腔注射治疗腰椎小关节紊乱的安全性及有效性。方法:40例腰椎小关节紊乱患者随机分为治疗组和对照组,每组20例。治疗组采用超声引导下小关节针刀松解联合小关节腔注射几丁糖,对照组采用单纯超声引导腰椎小关节针刀松解。每周治疗1次,3次为1个疗程。观察两组患者治疗前、疗程结束后、疗程结束3个月后的VAS评分与JOA评分,并进行比较。结果:1)疗程结束后,两组VAS评分均降低,差异有统计学意义(P<0.05);JOA评分均升高,差异有统计学意义(P<0.05);且治疗组VAS评分低于对照组,差异有统计学意义(P<0.05);治疗组JOA评分高于对照组,差异有统计学意义(P<0.05)。2)疗程结束3个月后,两组患者的VAS评分均呈上升趋势但仍低于治疗前,差异有统计学意义(P<0.05);JOA评分均呈下降趋势但仍高于治疗前,差异有统计学意义(P<0.05);治疗组VAS评分低于对照组(P<0.05),JOA评分高于对照组(P<0.05)。两组患者均未出现不良反应。结论:超声引导针刀松解联合关节腔注射几丁糖治疗腰椎小关节紊乱安全、准确而有效,且疗效优于单纯的小关节针刀松解。Objective： To observe the safety and effectiveness of ultrasound guided acupotomy combined with medical chi- tosan injection for treating lumbar facet joint disorder. Methods：All 40 cases of lumbar facet joint disorder were randomly divided into treatment group and control group, 20 cases in each group. The treatment group was treated with ultrasound guided lumbar facet joint injection of chitosan combined with the facet joint acupotomy lysis. The control group received ultrasound guided lumbar facet joint acupotomy lysis only. The two groups were treated one times a week,three times for a course. Then the VAS score and JOA score of two groups before and after treatment and at 3 months after the end of the course were observed and compared. Results： 1）At the end of the course,the VAS scores of the two groups both decreased （P〈0.05） ,and the JOA scores were both elevated（P〈0.05）. The score of VAS in treatment group was lower than that in control group（P〈0.05）. The score of JOA in treatment group was higher than that in control group（P〈0.05）. 2）After three months of the end of the course, the VAS scores of the two groups both increased, but still lower than that before the treatment（P〈0.05）. The JOA scores were decreased, but still higher than before treatment（P〈0.05）. The score of VAS in treatment group was lower than that in control group（P〈0.05）. The JOA score was higher than that of the control group（P〈0.05）. There was no adverse reaction in the two groups. Conclusion： Ultrasound guided acupotomy com-bined with medical chitosan injection for facet joint disorder is a safe, accurate and ef and the curative effect is better than lumbar potomy lysis only. treating lumbar fective therapy, facet joint acupotomy lysis only.

关 键 词：超声引导 针刀 医用几丁糖 腰椎小关节紊乱 

分 类 号：R681.5[医药卫生—骨科学]