腰椎内固定术后再行低温等离子髓核消融术的治疗

Treatment of Percutaneous Low-temperature Plasma Radiofrequency Ablation Nucleoplasty after the Treatment of Degenerative Lumbar Decompression Internal Fixation

目的研究应用低温等离子髓核消融术治疗腰椎退变减压内固定术后腰椎间盘突出症复发患者的疗效。方法14例腰椎退变减压内固定术后腰椎间盘突出症复发患者,应用经皮穿刺低温等离子髓核消融术进行治疗,采用参照Epstein法对患者进行主观满意度评价、JOA下腰痛评分系统、疼痛视觉模拟评分(VAS)量化评定治疗效果,在术前3天、术后7天、术后30天。3个时间点由患者根据自己情况进行填写。结果 Epstein法疗效评定标准在术后7天及术后30天优良率为100%;JOA下腰痛评分系统及疼痛视觉模拟评分在术前3天、术后7天、术后30天比较上,术后30天优于术后7天及术前3天,在JOA下腰痛评分系统各细目在不同时间点的比较上,除了体征检查方面改善不明显外,也能得到上述结论,且差异有统计学意义(P <0. 05)。结论应用低温等离子髓核消融术治疗腰椎退变减压内固定术后腰椎间盘突出症复发患者近期疗效良好,是一种安全有效的治疗椎间盘突出的介入手术方法。

Objective We observe the curative effect of using the treatment of percutaneous low-temperature plasma radiofrequency ablation nucleoplasty to treat the recurrent lumbar disc herniation patients after the treatment of degenerative lumbar decompression internal fixation.Methods We selected 14 cases of recurrent lumbar disc herniation patients after the treatment of degenerative lumbar decompression internal fixation,using treatment of percutaneous low-temperature plasma radiofrequency ablation nucleoplasty.We evaluated the treatment efficacy using Epstein method,JOA low back pain score and the pain visual analog scale assessment.Patients filled in these scales according to their own circumstances on before 3 day,after 7 days of surgery,after 30 days of surgery.Results After 7 days of surgery,after30 days of surgery,the excellent and good rates of Epstein method evaluation criteria was 100%.JOA low back pain score and the pain visual analogue scale have statistical significance(P<0.05)on before 3 days compared with after 7 days,after 7 days of surgery.The scores of JOA low back pain and the pain visual analogue scale of after 7 days of the surgery,after 30 days of surgerywere better than the scores before 3 days of the surgery.Each detail in JOA low back pain score system at different time points of comparison,besides signs amend inspection aspect is not obvious,also can get the above conclusion.Conclusion The recent curative effect of using the treatment of percutaneous low-temperature plasma radiofrequency ablation nucleoplasty to treat the recurrent lumbar disc herniation patients after the treatment of degenerative lumbar decompression internal fixation was excellent.Percutaneous low-temperature plasma radiofrequency ablation nucleoplasty is also a simple,effective,and safe interventional method for the treatment for herniated lumbar intervertebral disc.