Clinical Study on CT-guided Modified Akupotomye in the Treatment of Lumbar Nerve Posterior Branch Compression  

作　　者：QIAO Jin-lin LI Jin-niu LIN Jing-fu JI Guang-cheng XIANG Dong-dong SHEN Hong-xing 乔晋琳;李金牛;林井副;汲广成;向东东;沈红星(Department of Rehabilitation Medicine,the Sixth Medical Center of the General Hospital of the PLA,Beijing 100048,China;Department of Chinese Medicine,Zhongguancun Hospital of Beijing,Beijing 100190,China;Imaging Center,the Sixth Medical Center of General Hospital of the PLA,Beijing 100048,China;Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China)

机构地区：[1]Department of Rehabilitation Medicine,the Sixth Medical Center of the General Hospital of the PLA,Beijing 100048,China [2]Department of Chinese Medicine,Zhongguancun Hospital of Beijing,Beijing 100190,China [3]Imaging Center,the Sixth Medical Center of General Hospital of the PLA,Beijing 100048,China [4]Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China

出　　处：《World Journal of Integrated Traditional and Western Medicine》2020年第1期26-31,共6页世界中西医结合杂志（英文）

摘　　要：Objective: To observe the clinical effect of modified akupotomye closed lysis under CT guidance on compression of posterior lumbar nerve branch.Methods: Patients were diagnosed by HRCT 3-D reconstruction combined with clinical symptoms and signs.After HRCT three-dimensional reconstruction combined with clinical symptoms and signs, the patients were confirmed as posterior lumbar nerve compression.After CT accurate surface positioning, CT-guided modified akupotomye was used for closed lysis of the posterior lumbar nerve branch.Oswestry Dysfunction Index Questionnaire(ODI) was used for quantitative scoring, 7 days before and after treatment and 6 months after treatment.Results: In 62 cases, 20 cases were cured, with 25 cases markedly effective, 11 cases effective, and 36 cases ineffective.The total effective rate was 90.3%.ODI score: Self-paired t test 7 days before after treatment, P < 0.01;Before treatment and 6 months after treatment, self-paired t test(P < 0.01);Self-paired t-test was performed 7 days after treatment and 6 months after treatment(P > 0.05).Conclusion: With CT precise positioning, the modified akupotomye can be used to do closed lysis, to relieve the adhesion and compression, so that the low back pain can be relieved, with good clinical.The akupotomye closed lysis, combined with modern imaging technology has not only achieved good clinical effect, but also can improve the accuracy, safety and scientificity of akupotomye treatment.Objective: To observe the clinical effect of modified akupotomye closed lysis under CT guidance on compression of posterior lumbar nerve branch.Methods: Patients were diagnosed by HRCT 3-D reconstruction combined with clinical symptoms and signs.After HRCT three-dimensional reconstruction combined with clinical symptoms and signs, the patients were confirmed as posterior lumbar nerve compression.After CT accurate surface positioning, CT-guided modified akupotomye was used for closed lysis of the posterior lumbar nerve branch.Oswestry Dysfunction Index Questionnaire(ODI) was used for quantitative scoring, 7 days before and after treatment and 6 months after treatment.Results: In 62 cases, 20 cases were cured, with 25 cases markedly effective, 11 cases effective, and 36 cases ineffective.The total effective rate was 90.3%.ODI score: Self-paired t test 7 days before after treatment, P < 0.01; Before treatment and 6 months after treatment, self-paired t test(P < 0.01); Self-paired t-test was performed 7 days after treatment and 6 months after treatment(P > 0.05).Conclusion: With CT precise positioning, the modified akupotomye can be used to do closed lysis, to relieve the adhesion and compression, so that the low back pain can be relieved, with good clinical.The akupotomye closed lysis, combined with modern imaging technology has not only achieved good clinical effect, but also can improve the accuracy, safety and scientificity of akupotomye treatment.

关 键 词：Compression of posterior branch of lumbar nerve Akupotomye CT Three-dimensional reconstruction 

分 类 号：R681.5[医药卫生—骨科学]