腰椎棘突间隙一针三点注射法治疗椎间盘突出症的疗效分析

Treatment of lumbar intervertebral disc herniation with interspinous three-in-one injection

目的探讨腰椎棘突间隙一针三点注射法,治疗腰椎间盘突出症的临床效果。方法选择腰椎间盘突出症的患者110例,随机分为2组。硬膜外注射治疗为对照组(n=52),行常规硬膜外穿刺置管、注药;腰椎棘突间隙一针三点注射为研究组(n=58),行腰椎棘突间隙穿刺,然后朝左侧小关节间隙方向进针,继退针至皮下,再向右侧小关节间隙方向进针,分别注入镇痛混合液各3～5 ml。结果采用两种不同穿刺方法与注药途径均获得良好的治疗效果,对照组治愈与显效率为94.2%(49/52例),研究组达100%(58/58例)(P>0.05)。1年复发率对照组为15.4%(8/52例),研究组为3.4%(2/58例)。结论腰椎棘突间隙一针三点注射法治疗腰椎间盘突出症与硬膜外注射法相比较疗效相当,但前者安全简单、疗程缩短、复发率低、费用低廉。

Objective To observe the clinical efficacy of the method of interspinous three-in-one injection to treat lumbar intervertebral disc herniation. Methods One hundred and ten patients suffering from lumbar intervertebral disc herniation were randomly divided into control group （ n = 52） and research group（n = 58）. Epidural space was punctured, intubated and injected in control group. Analgesic mixture 3-5 ml were injected into interspinous tissue to three directions via one point in the research group. Results Good efficacy was achieved in both groups. The cure and good rates were similar in control group（94.2%, 49/52 cases） and research group（ 100%, 58/58 cases）（P 〉0.05）. The recurrence rate within one year in control group（ 15.4%, 8/52 cases） was lower than that in research group（3.4%, 2/58 cases）. Conclusion The efficacy of interspinous three-in-one injection method is comparable to epidural injection, but former method is simple, safe, short course of treatment and lower recurrence rate.