腰椎关节突关节源性腰痛介入治疗研究现状及进展  

Research status and progress of interventional therapy for lumbar facet joint-derived low back pain

作　　者：程爵富 诸葛京乐 罗家利 木明江·依沙克 沈进稳[2] CHENG Juefu;ZHUGE Jingle;LUO Jiali;Mumingjiang·Yishake;SHEN Jinwen(The First Clinical College of Zhejiang University of Traditional Chinese Medicine,Department of Orthopedics and Traumatology,Zhejiang Provincial Traditional Chinese Medicine,Hangzhou,Zhejiang Province 310006,China)

机构地区：[1]浙江中医药大学第一临床医学院,杭州310006 [2]浙江省中医院骨伤科

出　　处：《介入放射学杂志》2022年第5期515-518,共4页Journal of Interventional Radiology

基　　金：浙江省中医药科技计划科研基金(2021ZA059)。

摘　　要：腰椎关节突关节源性疼痛长期以来被认为是慢性腰痛的潜在来源,包括小关节紊乱、关节突关节炎等涉及关节突关节的病变。目前,对关节突关节源性腰痛的诊疗尚存较多争议,而介入技术具有损伤小、疗效好、并发症少等优势,已经成为关节突关节源性腰痛的主要治疗手段。本文将从针刀疗法、关节腔内注射、低温冷冻去神经术、射频热凝消融术、脊神经阻滞术等5种介入治疗进行介绍。For a long time,lumbar facet joint-derived pain has been considered as a potential source of chronic low back pain,including facet joint disorders,articular arthritis and other diseases involving facet joints.At present,there are still many controversies over the diagnosis and treatment of facet joint-derived low back pain.Because interventional technology has the advantages of less damage,excellent curative effect and fewer complications,it has become the main treatment option for facet joint-derived low back pain.This paper aims to make a comprehensive review of interventional therapies for lumbar facet joint-derived pain,focusing on the following five therapeutic methods:knife therapy,intra-articular injection,cryo-denervation,radiofrequency thermocoagulation ablation and spinal nerve block.

关 键 词：关节突关节 微创介入 去神经术 研究进展 

分 类 号：R681.5[医药卫生—骨科学]