CT引导下射频热凝术治疗颈椎间盘突出症疗效观察

Clinical Observation on CT-guided Radiofrequency Thermocoagulation for the Treatment of Cervical Intervertebral Disc Herniation

目的:探讨射频热凝术治疗颈椎间盘突出症临床效果。方法:32例颈椎间盘突出症患者,在CT引导下经颈前气管鞘和血管鞘之间将射频电极穿刺到椎间隙靶点,接神经射频仪将靶点温度升高到90℃,治疗3个周期,每个治疗周期60s,观察术前术后VAS评分变化。结果:该组患者治疗前后的VAS评分的改善较为显著,临床疗效优良率95.24%。结论:射频热凝术治疗颈椎间盘突出症近期疗效满意,远期疗效有待观察。

Objective：To observe the clinical effect of radiofrequency thermocoagulation（RT）in treating cervical intervertebral disc herniation（CIDH）.Methods：Thirty two patients with CIDH were treated with CT-guided RT for 3 periods,60 seconds for each period.Clinical efficacy was observed according to VAS score.Results：VAS scores were significantly decreased after treatment,with the good and excellent rate 95.24%.Conclusion：RT is effective in treating CIDH.But the clinical effect in long term deserves observation.