CT引导下化学消融术治疗腰椎间盘突出症的临床研究

发布时间：2018-03-30 20:13

本文选题：体层摄影术　切入点：X线计算机　出处：《重庆医学》2017年36期

【摘要】：目的研究腰椎间盘化学消融术治疗腰椎间盘突出症(LDH)的临床疗效,为临床治疗提供参考。方法把191例LDH患者分为A、B两组,在CT引导下行腰椎间盘化学消融术治疗LDH,A组(n=95)行盘内注射治疗,B组(n=96)行盘内盘外联合注射治疗,术后30、90、180d通过门诊或电话等方式随访,参考Macnab疗效评定标准对患者做随访和统计分析。结果两组分别于治疗结束后30、90及180d进行门诊或电话随访,所有患者均未出现神经、脊髓损伤及椎间盘感染等并发症。视觉模拟评分法(VAS)评分系统,组内比较治疗前、后两组差异均有统计学意义(P0.05),组间比较治疗后B组评分均低于A组(P0.05)。A组优良率术后30d为81.1%(77/95),术后90d为83.2%(79/95),术后180d为85.3%(81/95);B组优良率术后30d为85.4%(82/96),术后90d为88.5%(85/96),术后180d为91.7%(88/96)。结论 CT引导下腰椎间盘微创介入化学消融术止痛效果良好、迅速,盘内外联合治疗疗效更好。
[Abstract]:Objective to study the clinical effect of chemical lumbar disc ablation in the treatment of lumbar disc herniation.Methods 191 patients with LDH were divided into two groups: group A and group B were treated with CT-guided chemical intervertebral disc ablation. Group A was treated with intradisc injection therapy (group B) and group B was treated with combined intradisc injection. The patients were followed up by outpatient service or telephone at 3090180 days after operation.The patients were followed up and statistically analyzed according to the Macnab criteria.Results the patients in the two groups were followed up at 90 and 180 days after treatment, respectively. No complications such as nerve, spinal cord injury and intervertebral disc infection were found in all the patients.Visual analogue scoring system (VAS-VAS) was used to compare the scores before treatment.Conclusion CT guided minimally invasive interventional chemical ablation of lumbar intervertebral disc has a good analgesic effect and is rapid, and the combined treatment of disc and disc is more effective.
【作者单位】：重庆市垫江县人民医院放射科;川北医学院附属医院放射科;
【分类号】：R681.53

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