低温等离子髓核消融术治疗椎动脉型颈椎病的临床疗效

Study on the clinical efficacy of low-temperature plasma nucleus ablation in treatment of nucleus pulposus type vertebral artery type spondylosis

目的探讨低温等离子髓核消融术治疗椎动脉型颈椎病的临床疗效。方法选2012年1月至2015年10月收治的椎动脉型颈椎病患者63例,采用低温等离子髓核消融术治疗。比较术后1个月和术后6个月的临床疗效,术前和术后6个月的VAS评分和椎动脉型颈椎病功能评定量表(FS-CSA)评分变化,及术后并发症发生情况。结果术后1个月和术后6个月优良率比较无统计学差异(P>0.05);术后6个月VAS评分明显低于术前,且有统计学差异(P<0.05);术后6个月心理分、功能分及FS-CSA总分明显低于术前,且有统计学差异(P<0.05);术后并发症发生率为1.59%。结论低温等离子髓核消融术治疗椎动脉型颈椎病的临床疗效显著,能明显改善患者的VAS评分和FSCSA评分,且无明显并发症发生,值得临床进一步推广应用。

Objective To explore the efficacy of low-temperature plasma nucleus ablation in treatment of cervical vertebral artery disease. Methods A total of 63 patients with cervical vertebral artery type cervical spondylosis in this hospital during January 2012 to October 2015 were treated with low-temperature plasma nucleus ablation therapy. The efficacy of treatment had been compared in 1 and 6 months after the treatment,VAS scores and changes in cervical vertebral artery disease functional scale（ FS-CSA） scores were compared before and 6 months after treatment,and postoperative complications were compared between these 2 groups. Results There was no significant statistical difference in excelllent rate in 1 month and 6 months after the treatment（ P〉0.05）. The VAS scores at 6 months after treatment were significantly lower than those before treatment,and the difference was significant（ P〈0.05）. The psychological points,functional points and FS-CSA scores in 6months after treatment were significantly lower than those of preoperation,and the difference was significant（ P〈0.05）; The rate of postoperative complications was 1. 59%. Conclusion The curative effect of application of low temperature plasma nucleus radiofrequency ablation in treatment of vertebral artery type cervical spondylosis is significant,it can significantly raise the VAS scores and FS-CSA scores of patients,and there is no obvious complication,hence it is worthy to be clinically applied.