[1]李明凡 郑礼鹏 周庆忠 叶飞 冯大雄△.经椎间孔镜窦椎神经射频消融术和经皮纤维环成形术治疗椎间盘源性腰痛的比较研究[J].中国中医骨伤科杂志,2022,30(08):41-45.
　LI Mingfan ZHENG Lipeng ZHOU Qingzhong YE Fei FENG Daxiong.Comparative Study of Radiofrequency Ablation and Percutaneous Annulus Fibroplasty on the Treatment of Discogenic Low Back Pain[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(08):41-45.
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经椎间孔镜窦椎神经射频消融术和经皮纤维环成形术治疗椎间盘源性腰痛的比较研究()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年08期
页码:
41-45
栏目:
临床研究
出版日期:
2022-08-15

文章信息/Info

Title:
Comparative Study of Radiofrequency Ablation and Percutaneous Annulus Fibroplasty on the Treatment of Discogenic Low Back Pain
文章编号:
1005-0205(2022)08-0041-05
作者:
李明凡1 郑礼鹏2 周庆忠2 叶飞2 冯大雄2△
1绵阳市骨科医院(四川 绵阳,621000) 2西南医科大学附属医院
Author(s):
LI Mingfan1 ZHENG Lipeng2 ZHOU Qingzhong2 YE Fei2 FENG Daxiong2△
1Mianyang Orthopedic Hospital,Mianyang 621000,Sichuan China; 2Affiliated Hospital of Southwest Medical University,Luzhou 646000,Sichuan China.
关键词:
椎间孔镜;  窦椎神经;  射频消融;  椎间盘源性腰痛;  纤维环成形术
Keywords:
intervertebral foraminal endoscopy;  sinus vertebral nerve;  radiofrequency ablation;  discogenic low back pain;  annulus fibroplasty
分类号:
R681.5
文献标志码:
A
摘要:
目的:对比经椎间孔镜窦椎神经射频消融术和经皮纤维环成形术治疗椎间盘源性腰痛(DLBP)的疗效。方法:选择2019年1月至2019年11月西南医科大学附属医院的DLBP患者57例,随机分为观察组30例,常规组27例。观察组采用经椎间孔镜窦椎神经射频消融术,对照组采用常规经皮纤维环成形术。观察术前以及术后各个时间节点的VAS疼痛评分、ODI、JOA评分以及血清P物质(SP)水平。结果:观察组在术后6个月、术后12个月的VAS疼痛评分、ODI和JOA评分均优于对照组,差异有统计学意义(P <0.05)。而在SP方面,在术后3个月、6个月和12个月,观察组SP水平均低于对照组,差异有统计学意义(P<0.05)。两组术后VAS评分、ODI、JOA评分较治疗前好转,且差异有统计学意义(P<0.05)。结论:经椎间孔镜窦椎神经射频消融治疗DLBP,能缓解患者的疼痛和功能障碍,远期疗效优于纤维环成形术。
Abstract:
Objective:To compare the efficacy of radiofrequency ablation and percutaneous annulus fibroplasty on the treatment of discogenic low back pain.Methods:57 patients with DLBP from January 2019 to November 2019 were randomly divided into observation group(30 cases)and routine group(27 cases).The observation group was treated with radiofrequency ablation of endoscopic sinus vertebral nerve through intervertebral foramen,and the control group was treated with conventional percutaneous annulus fibroplasty.VAS pain scores,ODI,JOA scores and serum substance P(SP)level were observed before and after operation.Results:The VAS pain scores,ODI and JOA scores of the observation group at 6 and 12 months after operation were better than those of the control group(P<0.05).In terms of SP,the level of SP in the observation group was lower than that in the control group at 3,6 and 12 months after operation(P<0.05).Conclusion:Radiofrequency ablation of endoscopic sinus vertebral nerve through intervertebral foramen can effectively alleviate the pain and dysfunction of patients,and the long-term efficacy is better than that of annulus fibroplasty.

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备注/Memo

备注/Memo:
△通信作者 E-mail:fdxlz2002@163.com
更新日期/Last Update: 2022-08-15