超声联合C臂机选择性神经根注射改善腰突致神经痛的效果观察  

Curative effect of ultrasound combined with C-arm machine selectivenerve root injection on sciatica induced by lumbar disc herniation

作　　者：李琳[1] 王浩杰[1] 诸熵熵 LI Lin;WANG Haojie;ZHU Shangshang(Department of Anesthesiology/Pain,Yuyao People's Hospital of Zhejiang Province,Yuyao 315499,China;Department of Anesthesiology,Yuyao Fourth People's Hospital,Yuyao 315499,China)

机构地区：[1]余姚市人民医院麻醉/疼痛科,浙江余姚315499 [2]余姚市第四人民医院麻醉科,浙江余姚315499

出　　处：《健康研究》2024年第1期104-107,共4页Health Research

基　　金：浙江省卫生健康科技计划项目(2021ZH039;2024XY154)。

摘　　要：目的 观察超声联合C臂机选择性神经根注射治疗腰椎间盘突出致坐骨神经痛的临床效果。方法 180例确诊腰突致坐骨神经痛的患者分为观察组和对照组各90例,分别接受C臂机选择性神经根注射治疗和联合超声治疗。分别于治疗后1周、2周、1个月,统计两组患者的治疗优良率;采用视觉模拟评分法(VAS)评估患者疼痛,应用Oswestry功能障碍指数(ODI)评价下腰痛功能障碍。结果 观察组的透视次数、辐射剂量、穿刺时间均少于对照组,一次穿刺成功率(92.22%)高于对照组(63.33%),差异均有统计学意义(P<0.05)。治疗后1周、2周、1个月,观察组的治疗优良率分别为92.22%、88.89%、83.33%,与对照组(85.56%、83.33%、77.78%)差异均无统计学意义(χ^(2)=2.025、1.161、0.887,均P>0.05);2组的VAS评分、ODI指数均显著降低,差异有统计学意义(P<0.05)。结论 超声联合C臂机选择性神经根注射治疗腰突致坐骨神经痛,能够减少透视次数、辐射剂量、穿刺时间,提高一次穿刺成功率。Objective To explore the clinical curative effect of ultrasound combined with C-arm machine selective nerve root injection on sciatica induced by lumbar disc herniation.Methods A total of 180 patients diagnosed with sciatica induced by lumbar disc herniation were divided into two groups:an observation group and a control group,each with 90 cases.The control group received treatment with C-arm machine selective nerve root injection,while the observation group received additional treatment with ultrasound.The good rates of treatment in both groups were statistically analyzed at 1 week,2 weeks,and 1 month after treatment.The pain level was evaluated using the visual analogue scale(VAS),and low back pain dysfunction was evaluated using the Oswestry disability index(ODI).Results The frequency of fluoroscopy,radiation dose,and puncture time were lower in the observation group compared to the control group.Additionally,the success rate of one-time puncture was higher in the observation group(92.22%)than in the control group(63.33%),and the difference was significant(P<0.05).There was no significant difference in the good rates of treatment between the observation and control groups at 1 week,2 weeks,and 1 month after treatment(92.22%,88.89%,83.33%vs 85.56%,83.33%,77.78%;χ^(2)=2.025、1.161、0.887,all P>0.05).After treatment,both groups showed a significant decrease in VAS and ODI scores(P<0.05).Conclusions Ultrasound combined with C-arm machine selective nerve root injection can reduce fluoroscopy frequency and radiation dose,shorten puncture time and increase the success rate of one-time puncture in sciatica induced by lumbar disc herniation.

关 键 词：超声 C臂机 选择性神经根注射 腰椎间盘突出 神经痛 

分 类 号：R274.34[医药卫生—中医骨伤科学]