脉冲射频结合小针刀治疗老年腰椎侧弯合并根性疼痛

发布时间：2018-06-15 19:57

本文选题：腰椎 + 脉冲射频　；参考：《实用医学杂志》2011年23期

【摘要】：目的:评价脊神经根脉冲射频结合小针刀软组织松解术治疗老年腰椎侧弯合并根性疼痛者的临床效果。方法:老年腰椎侧弯合并根性症状患者40例,男11例,女29例,年龄62～78岁,随机分成两组:脉冲射频治疗组(A组)和脉冲射频复合针刀治疗组(B组),每组20例。观察治疗前(T1)和治疗后1(T2)、2(T3)、3(T4)、4(T5)、8(T6)、12周(T7)各时点患侧下肢VAS疼痛评分;观察治疗后4(F1)、8(F2)、12周(F3)各时点患侧下肢症状改善程度评分。结果:两组患侧下肢VAS疼痛评分,A组T3、T4、T5、T6、T7各时点明显低于T1(P㩳0.05);B组T2、T3、T4、T5、T6、T7各时点明显低于T1(P㩳0.05);B组T2、T3、T4、T5、T6、T7各时点明显低于A组各对应时点(P㩳0.05)。两组患侧下肢症状改善程度评分,B组F1、F2、F3各时点明显高于A组各对应时点(P㩳0.05)。结论:脊神经根脉冲射频结合小针刀软组织松解治疗老年腰椎侧弯合并根性疼痛较单纯脉冲射频效果好。
[Abstract]:Objective: to evaluate the clinical effect of spinal nerve root pulse radiofrequency (RRF) combined with small needle knife soft tissue release in the treatment of lumbar scoliosis with root pain in elderly patients. Methods: forty elderly patients (11 males and 29 females, aged 6278 years) with lumbar scoliosis complicated with root symptoms were randomly divided into two groups: group A (pulse radiofrequency therapy) and group B (pulse radiofrequency combined with needle knife), with 20 cases in each group. The scores of VAS pain in the lower extremities of the affected side at each time point were observed before and after treatment, and the scores of the symptoms of the lower extremities of the affected side at each time point were observed, and the scores of the improvement degree of the lower extremity symptoms at each time point were observed. Results: the VAS pain score of lower extremities in group A was significantly lower than that in group A at each time point, which was significantly lower than that in group T _ 1, T _ 3, T _ 3, T _ 4, T _ (5) and T _ (6) T _ (7) were significantly lower than those in group A (T _ (2) T _ (3) T _ (4) T _ (5) T _ (5) T _ (6) T _ (7) were significantly lower than those in group A (T _ (2) T _ (3) T _ (3) T _ (4) T _ (5) T _ (6) T _ (7) were significantly lower than those in group A (P < 0.05). The scores of improvement degree of lower extremity symptoms in two groups were significantly higher than those in group A at each time point. Conclusion: pulse radiofrequency of spinal nerve root combined with soft tissue release of small needle knife is more effective than pulse radiofrequency in the treatment of lumbar scoliosis with root pain in elderly patients.
【作者单位】：浙江省嘉兴市第二医院;
【基金】：浙江省嘉兴市科技局基金项目(编号:2008AY2034-7)
【分类号】：R246.9

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