等离子髓核成形术治疗交感型颈椎病的临床疗效研究

发布时间：2018-08-31 20:50

【摘要】：目的：通过回顾性分析等离子髓核成形术和中医综合疗法治疗交感型颈椎病,探讨等离子髓核成形术治疗交感型颈椎病的疗效、并发症及其应用价值。方法：回顾性分析符合诊断标准的46例交感型颈椎病患者的治疗过程,观察组23例,采用等离子髓核成形术治疗：对照组23例,采用中医保守疗法治疗。分别观察两组患者治疗后2周及1月时的Macnab症状缓解率及主观满意度分级,同时评估观察组患者治疗前后主要症状数字评分的改善结果及并发症情况。结果：观察组患者手术操作均完成,无穿刺点感染及神经根、脊髓、血管损伤等并发症。观察组治疗后2周症状缓解优良率87%,有效率95.7%,满意率91.3%；治疗后1月时疗效优良率73.9%,有效率91.3%,满意率87%。对照组治疗后2周症状缓解优良率60.9%,有效率78.3%,满意率78.2%；1月时优良率60.9%,有效率82.6%,满意率82.6%；观察组较对照组有效率及满意度优,差异有统计学意义(P0.05)。观察组患者治疗后2周及1月时各项主要症状数字评分(NRS)较术前明显改善,差异有统计学意义。结论：等离子髓核成形术治疗交感型颈椎病临床疗效显著,较保守治疗有更高的近期症状缓解率及主观满意度,具有创伤小、恢复快、住院时间短及并发症少等优点,在严格掌握临床适应症的情况下,值得临床进一步推广应用。
[Abstract]:Objective: to study the curative effect, complications and application value of plasma nucleus pulpoplasty and combined therapy of traditional Chinese medicine in the treatment of sympathetic cervical spondylosis. Methods: the treatment process of 46 patients with sympathetic cervical spondylopathy according to the diagnostic criteria was analyzed retrospectively. 23 patients in the observation group were treated with plasma myeloplasty and 23 patients in the control group were treated with conservative therapy of traditional Chinese medicine. The Macnab symptom remission rate and subjective satisfaction were observed at 2 weeks and 1 month after treatment, and the improvement results and complications of the main symptom number scores before and after treatment in the observation group were evaluated. Results: all the patients in the observation group were operated without complications such as nerve root, spinal cord and vascular injury. In the observation group, the excellent and good rate was 87%, the effective rate was 95.7%, the satisfaction rate was 91.3%, the excellent and good rate was 73.9%, the effective rate was 91.3%, and the satisfaction rate was 87% at one month after treatment. In the control group, the excellent and good rate was 60.9%, the effective rate was 78.3%, the satisfaction rate was 78.2%; at 1 month, the excellent and good rate was 60.9, the effective rate was 82.6%, and the satisfaction rate was 82.6; the observation group was better than the control group in the effective rate and satisfaction rate, the difference was statistically significant (P0.05). After 2 weeks and 1 month of treatment, the (NRS) scores of major symptoms in the observation group were significantly improved compared with those before operation, and the difference was statistically significant. Conclusion: plasma nuclear myeloplasty is effective in the treatment of sympathetic cervical spondylosis. Compared with conservative treatment, plasma nuclear myeloplasty has higher short-term symptom relief rate and subjective satisfaction. It has the advantages of less trauma, faster recovery, shorter hospital stay and fewer complications. In the case of strict grasp of clinical indications, it is worthy of further clinical application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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