CT辅助下脊神经后支PRFT联合神经阻滞术治疗老年椎体压缩性骨折PVP后残余疼痛的效果  

The Effect of CT-assisted Posterior Branch of Spinal Nerve PRFT Combined with Nerve Block Surgery in the Treatment of Residual Pain after PVP for Elderly Vertebral Compression Fractures

作　　者：王心刚 WANG Xingang(Department of Orthopedics,Quanzhou Southeast Hospital,Quanzhou 362000,China)

机构地区：[1]泉州东南医院骨科,福建泉州362000

出　　处：《中国医学创新》2024年第27期40-44,共5页Medical Innovation of China

摘　　要：目的:分析CT辅助下脊神经后支射频热凝毁损术(percutaneous radiofrequency thermocoagulation,PRFT)联合神经阻滞术治疗老年椎体压缩性骨折椎体成形术(percutaneous vertebro plasty,PVP)后残余疼痛的效果。方法:选取2020年1月—2023年6月泉州东南医院收治的86例PVP后残余疼痛的老年椎体压缩性骨折患者,经随机数字表法将其分为两组,各43例。对照组开展神经阻滞术,观察组在对照组的基础上开展CT辅助下脊神经后支PRFT。比较两组疼痛程度、功能障碍、日常生活能力及生活质量。结果:术后1周及1、3、6个月,观察组视觉模拟评分法(visual analogue scale,VAS)评分、Oswestry功能障碍指数(Oswestry disability index,ODI)评分均低于对照组,差异均有统计学意义(P<0.05)。术后1周及1、3、6个月,观察组日常生活能力量表(activities of daily living,ADL)、生活质量综合评定问卷(generic quality of life inventory-74,GQOLI-74)评分均高于对照组,差异均有统计学意义(P<0.05)。结论:对PVP后残余疼痛的老年椎体压缩性骨折患者开展神经阻滞术联合CT辅助下脊神经后支PRFT治疗,不仅能消除患者的疼痛,促使其椎体功能恢复,还能进一步提升患者的日常生活能力和生活质量。Objective:To investigate the effect of CT-assisted posterior branch of spinal nerve percutaneous radiofrequency thermocoagulation(PRFT)combined with nerve block surgery for residual pain after percutaneous vertebro plasty(PVP)in elderly patients with vertebral compression fracture.Method:A total of 86 elderly patients with vertebral compression fracture with residual pain after PVP treated in Quanzhou Southeast Hospital from January 2020 to June 2023 were selected and divided into two groups by random number table method,with 43 cases in each group.The control group underwent nerve block surgery,and the observation group underwent CT-assisted posterior branch of spinal nerve PRFT on the basis of the control group.Pain,functional impairment,ability of daily living and quality of life were compared between the two groups.Result:At 1 week and 1,3 and 6 months after surgery,the visual analogue scale(VAS)scores and Oswestry disability index(ODI)scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).At 1 week and 1,3 and 6 months after surgery,the scores of activities of daily living(ADL)and generic quality of life inventory-74(GQOLI-74)in the observation group were higher than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Nerve block surgery combined with CT-assisted posterior branch of spinal nerve PRFT treatment for elderly patients with residual pain after PVP can not only eliminate the pain of patients,promote the recovery of their vertebral function,but also further improve their daily living ability and quality of life.

关 键 词：椎体压缩性骨折 CT辅助 脊神经后支射频热凝毁损术 神经阻滞术 椎体成形术后残余疼痛 

分 类 号：R687.3[医药卫生—骨科学]