[1]于栋,杨骁侠△,张清烽,等.“弯针穿刺”在高髂嵴L5S1间盘突出症射频髓核消融术中的应用[J].中国中医骨伤科杂志,2018,26(11):29-31+36.
　YU Dong,YANG Xiaoxia,ZHANG Qingfeng,et al.Application of “Curved Needle Puncture” Radiofrequency Ablation in the Treatment of Lumbosacrum Disc Herniation with High Iliac Crest[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(11):29-31+36.
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“弯针穿刺”在高髂嵴L5S1间盘突出症射频髓核消融术中的应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年11期
页码:
29-31+36
栏目:
临床论著
出版日期:
2018-10-30

文章信息/Info

Title:
Application of “Curved Needle Puncture” Radiofrequency Ablation in the Treatment of Lumbosacrum Disc Herniation with High Iliac Crest
文章编号:
1005-0205(2018)11-0029-03
作者:
于栋1; 杨骁侠1△; 张清烽1; 刘恒平1; 时宗庭1; 刘思婷1
1北京中医药大学第三附属医院脊柱科(北京,100029)
Author(s):
YU Dong1; YANG Xiaoxia1△; ZHANG Qingfeng1; LIU Hengping1; SHI Zongting1; LIU Siting1
1The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029,China.
关键词:
腰椎间盘突出;  高髂嵴;  低温等离子消融技术;  弯针
Keywords:
lumbar disc herniation;  high iliac crest;  low-temperature plasma ablation;  curved needle
分类号:
R681.5
文献标志码:
A
摘要:
目的:观察“弯针穿刺”在高髂嵴L5S1椎间盘突出症射频消融髓核成形术中的应用疗效。方法:随机纳入本科2016年7月至2017年6月间确诊的L5S1椎间盘突出症96例,其中髂嵴高于L5上终板者为高髂嵴病例组31例,髂嵴低于L5上终板者为低髂嵴病例组65例,前者以“弯针穿刺”后,行经皮低温等离子射频消融髓核成形术,后者以常规直针穿刺后行相同术式。通过采用术前、术后疼痛视觉模拟评分(VAS)及腰椎功能MacNab评定标准,评估两组患者术后疗效。结果:高髂嵴病例采用弯针穿刺、低髂嵴病例采用常规直针穿刺,除1例高髂嵴病例外,均成功抵达消融靶点,两组VAS及 MacNab评分与术前比较差异有统计学意义(P<0.05),疗效确切。二者组间比较,差异无统计学意义(P>0.05),疗效相当。结论:应用“弯针穿刺”于高髂嵴L5S1间盘突出症的髓核消融术中,可切实克服常规直针难以达到靶点的技术困难,并达到与低髂嵴病例组常规穿刺手术相近的临床疗效,可操作性较强,值得应用推广。
Abstract:
Objective:To observe the effect of “curved needle puncture” technique in radiofrequency ablation nucleoplasty for lumbosacrum disc herniation with high iliac crest. Methods: 96 patients with lumbosacrum disc herniation diagnosed in our department from July 2016 to June 2017 were randomly enrolled. Among them, iliac crest was higher than L5 upper endplate in 31 cases, iliac crest lower than L5 upper endplate in 65 cases. The former was performed by percutaneous radiofrequency ablation nucleoplasty after “curved needle puncture”, while the latter was performed by the same procedure after conventional puncture. The therapeutic efficacy of two groups were assessed and compared through preoperative and postoperative VAS score and MacNab assessment criteria. Results:Except for one case of high iliac crest, the two groups were successful in reaching the ablation target and there were significant differences in VAS and MacNab scores before and after operation in the two groups(P<0.05). There was no significant difference between the two groups(P>0.05). Conclusion:The “curved needle puncture technique” followed by radiofrequency ablation nucleoplasty operation used for lumbosacrum disc herniation with high iliac crest, can effectively overcome the difficulty of conventional technique to reach the target of ablation, and achieve the clinical efficacy of conventional technique in low iliac crest group, and is worthy of application and popularization.

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备注/Memo

备注/Memo:
△通信作者 E-mail:mnxiajie@126.com
更新日期/Last Update: 2018-10-10