小针刀联合靶点双极电凝术治疗顽固性枕大神经炎的疗效观察  

Therapeutic effect of small needle scalpel combined with target bipolar electrocoagulation on intractable greater occipital neuritis

作　　者：陈勇喜[1] 覃海飚[1] 农必华[1] 付拴虎 宋泉生[1] 卢大汉 谷金 卢明毅 覃镜羽 CHEN Yong-xi;QIN Hai-biao;NONG Bi-hua;FU Shuan-hu;SONG Quan-sheng;LU Da-han;GU Jin;LU Ming-yi;QIN Jing-yu(The First Department of Orthopedics,the First Affiliated Hospital,Guangxi University of Chinese Medicine,Nanning 530003,China;Graduate School,Guangxi University of Chinese Medicine,Nanning 530003,China)

机构地区：[1]广西中医药大学第一附属医院骨一科,南宁市530023 [2]广西中医药大学研究生学院,南宁市530003

出　　处：《广西医学》2021年第2期197-199,共3页Guangxi Medical Journal

基　　金：广西医疗卫生适宜技术开发与推广应用项目(S2019028)。

摘　　要：目的观察小针刀联合靶点双极电凝术治疗顽固性枕大神经炎的疗效。方法将78例顽固性枕大神经炎患者随机分为治疗组和对照组,每组39例。治疗组采用小针刀联合靶点双极电凝术治疗,对照组采用靶点双极电凝术治疗。分别于治疗前、治疗6个月后采用疼痛视觉模拟量表(VAS)评价两组患者颈枕部疼痛情况,观察两组患者的治疗效果及复发率。结果术后6个月时,治疗组颈枕部VAS评分低于治疗前及对照组(均P<0.05)。治疗组总有效率为97.4%,无复发病例,对照组总有效率为79.5%,复发8例(20.5%),治疗组疗效优于对照组(P<0.05)。结论小针刀联合靶点双极电凝术微创治疗顽固性枕大神经炎效果好,有效缓解患者疼痛,且复发率低。Objective To observe the efficacy of small needle scalpel combined with target bipolar electrocoagulation for the treatment of intractable greater occipital neuritis.Methods Seventy-eight patients with intractable greater occipital neuritis were randomly divided into treatment group and control group,with 39 cases in each group.The treatment group was treated with small needle scalpel combined with target bipolar electrocoagulation,while the control group was treated with target bipolar electrocoagulation.The Visual Analogue Scale(VAS)was used to evaluate cervico-occipital pain of the patients in both groups before treatment and six months after treatment,and patients′therapeutic effect and recurrence rate were observed in the two groups.Results Six months after operation,the cervico-occipital VAS score of the treatment group was lower than the score before treatment or of the control group(all P<0.05).The treatment group had a total efficacy rate of 97.4%and no recurrence cases,the control group had a total efficacy rate of 79.5%and eight(20.5%)recurrence cases,and the treatment group achieved superior efficacy than the control group(P<0.05).Conclusion The minimally invasive therapy of small needle scalpel combined with target bipolar electrocoagulation has a favorable efficacy for treating intractable greater occipital neuritis,for it can effectively ameliorate patients′pain and obtain a low recurrence rate.

关 键 词：顽固性枕大神经炎 小针刀 靶点双极电凝术 

分 类 号：R745.5[医药卫生—神经病学与精神病学] R245[医药卫生—临床医学]