水针刀椎管内靶点治疗腰椎间盘突出症的疗效观察  

Accurate Treatment of Lumbar Disc Herniation with Water Needle Knife in Spinal Canal

作　　者：顾晞[1] 甘宁[1] GU Xi;GAN Ning(Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430014,China)

机构地区：[1]武汉市中医医院,湖北武汉430014

出　　处：《云南中医学院学报》2022年第3期31-34,共4页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：武汉市卫生健康委员会科研项目(WZ21C17);武汉市卫生健康委员会科研项目(WZ22B12)。

摘　　要：目的观察水针刀椎管内靶点治疗腰椎间盘突出症(LDH)的临床疗效。方法选取2020年4月至2022年4月在我院确诊LDH的患者22例,行水针刀椎管内靶点治疗,记录患者治疗前及治疗后1周、1个月、3个月的疼痛视觉模拟量尺(VAS)评分和Oswestry功能障碍指数(ODI)指数,同时记录治疗过程中出现的不良反应,末次随访使用MacNab疗效评价标准进行疗效评价。结果患者水针刀治疗后不同时间点VAS评分及ODI指数较治疗前均明显改善(P<0.05)。治疗后1周、1个月、3个月VAS评分及ODI指数两两比较无统计学差异(P>0.05)。末次随访MacNab疗效评价:优9例、良7例、可3例、差3例,总体优良率为72.73%,治疗期间无严重的不良反应发生。另有3例患者最终行手术治疗LDH。结论水针刀椎管内靶点治疗腰椎间盘突出症安全性较高,临床疗效良好。Objective To observe the clinical effect of treating of lumbar disc herniation(LDH)with the intraspinal target of water needle knife.Methods Twenty-two patients with LDH diagnosed in our hospital were treated with intraspinal target therapy with water needle knife from April 2020 to April 2022.The visual analogue scale(VAS),oswestry disability index(ODI)index before treatment and after treatment for 1 week,1 month and 3 months and the adverse reactions were recorded.The curative effect was evaluated at the last follow-up.Results The VAS score and ODI index were significantly improved at different time after treatment,and there was significant difference before and after treatment(P<0.05).There was no significant difference in both VAS score and ODI index between those in 1 week,1 month and 3 months after treatment(P>0.05).During the last follow-up,the effect of MacNab was excellent in 9 cases,good in 7 cases,adequate in 3cases,and poor in 3 cases.The overall excellent and good rate was 72.73%.No serious adverse reactions were observed during the treatment period.Three patients finally were taken surgical treatment of LDH.Conclusion The intraspinal target of water needle knife is a safe and effective in the treatment of LDH.

关 键 词：腰椎间盘突出症 水针刀 椎管内 靶点治疗 

分 类 号：R246.9[医药卫生—针灸推拿学]