背根节脉冲射频治疗神经根型颈椎病的效果  

Efficacy of dorsal root ganglion pulsed radiofrequency in the treatment of cervical spondylotic radiculopathy

作　　者：黄乔东[1] 宫庆娟[1] 刘晓明[1] 薄存菊[1] 卢振和[1] 高崇荣[1] HUANG Qiaodong;GONG Qingjuan;LIU Xiaoming;BO Cunju;LU Zhenhe;GAO Chongrong(Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院,广州510260

出　　处：《实用医学杂志》2018年第19期3224-3226,共3页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号:2013B021800183)

摘　　要：目的观察背根节脉冲射频治疗神经根型颈椎病的疗效及安全性。方法 60例神经根型颈椎病患者,随机分为A、B两组,每组30例:A组于数字减影血管造影机(DSA)引导下行选择性神经根阻滞;B组在DSA引导下行背根节脉冲射频治疗。观察两组术前和术后1、7 d及术后1、3、6个月时患者的视觉模拟评分(VAS),术后1、3、6个月随访Odom评分的优良率以及手术相关并发症。结果两组患者术后疼痛VAS评分均迅速降低,同术前相比差异均有统计学意义(P <0.05);B组患者VAS评分术后3、6个月随访时仍维持在较低水平,与A组相比,差异有统计学意义(P <0.05);同时,两组Odom评分优良率在术后3、6个月随访时差异有统计学意义(P <0.05);两组均未见严重手术相关并发症。结论背根节脉冲射频能快速减轻神经根型颈椎病患者的症状,并且能维持较长时间,未见明显手术并发症,是治疗神经根型颈椎病的一种快速、安全、有效的方法。Objective To investigate the efficacy and safety of dorsal root ganglion(DRG)pulsed radio-frequency in the treatment of cervical spondylotic radiculopathy.Methods Sixty patients with cervical spondylotic radiculopathy were randomly divided into two groups(n=30 in each group).Patients in Group A were treated with selective nerve root block(SNRB).Patients in Group B were treated with cervical DRG pulsed radiofrequency.Visual analogue scale(VAS)scores before and 1 d,7 d,1 m,3 m and 6 m after operation,Odom scales 1 m,3 m and 6 m after operation,and complications related to the operation were recorded.Results The VAS scores of postoperative pain in two groups decreased rapidly and were significantly different from those before treatment(P<0.05).Compared with those in Group A,the VAS scores in Group B were significantly lowered at 3 m and 6 m after treatment(P<0.05).At the same time,a significant difference in the excellent rate of Odom score was ob-served between the two groups(P<0.05).No serious complications occurred in the two groups.Conclusion DRG pulsed radiofrequency could rapidly relieve the pain of patients with cervical spondylotic radiculopathy and could maintain a relatively long time,without serious complications.It was a rapid,safe and effective treatment method for cervical spondylotic radiculopathy.

关 键 词：颈椎病 神经痛 脉冲射频 背根节 

分 类 号：R681.55[医药卫生—骨科学]