| 薛为高,韩 康,高浩然,高全友,单群群,谭树森,张晓璇.脊神经后支射频消融结合椎间孔镜在关节突盘源性腰痛中的应用及临床分析[J].,2018,(21):4051-4054 |
| 脊神经后支射频消融结合椎间孔镜在关节突盘源性腰痛中的应用及临床分析 |
| Clinical Therapeutic Effect of Spinal Nerve Medial Branch Ablation through Transforaminal Endoscopic in Treatment of Lumbar Zygapophysial Joint Pain |
| 投稿时间：2018-06-04 修订日期：2018-06-29 |
| DOI：10.13241/j.cnki.pmb.2018.21.010 |
| 中文关键词: 关节突盘源性腰痛 椎间孔镜 射频消融 |
| 英文关键词: Lumbar zygapophysial joint pain Transforaminal endoscopic Radiofrequency ablation |
| 基金项目:国家自然科学基金项目（81702935）；济南军区总医院院长基金项目（2015ZX01） |
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| 中文摘要: |
| 摘要 目的：探讨和分析使用脊神经后支射频消融结合腰椎简孔镜的方法治疗关节突盘源性腰痛作用和临床疗效。方法：回顾性分析2015.01-2017.01经纳入和排除标准筛选，因腰背痛来我院就诊，确诊为关节突盘源性腰痛的腰椎间盘突出症患者共计92人。使用椎间孔镜下射频消融处理组（实验组）为36人，保守治疗组（对照组）为56人。对两组患者在治疗前及治疗后的的疼痛评分（VAS）、治疗评分（JOA）及腰椎功能评分（MacNab）进行记录并统计学比较。前两者在治疗后1月及6月进行记录。功能评分在治疗后1年进行记录。结果：两组患者在治疗后1月的各项评分均较治疗前有显著改善(P<0.05)。且两组之间有统计学差异(P<0.05)。在治疗后6月及12月的观察指标的比较中，实验组的各项数据与治疗前比仍有显著差异(P<0.05)。对照组较治疗前则无显著性差异(P>0.05)。且两组间有统计学差异(P<0.05)。治疗后1年的实验组功能评分显著高于对照组(P<0.05)。两组所有患者均未出现严重并发症。结论：对于关节突盘源性腰痛，使用脊神经后支结合椎间孔镜进行治疗，具有很好的临床疗效和远期效果，且相对安全，具有非常重要的临床推广价值。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the clinical value and effect of spinal nerve medial branch ablation through transforaminal endoscopic in treatment of lumbar zygapophysial joint pain. Methods: From 2015.01 to 2017.01, 92 patients diagnosed as lumbar zy- gapophysial joint pain were included in the research. 36 patients were treated by spinal nerve medial branch ablation through transforami- nal endoscopic, while 56 patients received conservative treatment. The visual analogue scale（VAS）and Japanese Orthopedics Associa- tion（JOA）scores before treatment, 1, 6 and 12 months after treatment were recorded and analyzed. The MacNab scores were recorded and analyzed 12 months after treatment. Results: The VAS and JOA scores of surgical treatment group showed significant improvement compared with that before operation（P<0.05）, and there were no significant difference at each time point after surgery. The VAS and JOA scores of conservative treatment group in showed significant improved at 1 months after treatment compared with that before treat- ment（P<0.05）, but there were no significant difference at each time after treatment compared with pretreatment. The VAS and JOA scores of surgical treatment group showed significant improvement compared with conservative treatment group at each time after treat- ment（P<0.05）. The MacNab scores of surgical treatment group（94.44%）was significantly higher than that of conservative treatment group（33.33%）. Conclusion: The spinal nerve branches ablation under transforaminal endoscopic is an effective and safe minimally in- vasive spine surgery technique with important clinical value in the treatment of lumbar zygapophysial joint pain. |
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