骶管注药扩散平面的影像学及临床疗效观察

Caudal epidural injections in the plane of the spread of imaging and clinical curative effect observation

目的观察骶管注药药物在椎管内的扩散平面,患者的临床疗效。方法对76例知情的腰椎间盘突出症患者经骶管注药20mL,其中2mL醋酸泼尼松龙,2mL利多卡因,10mL碘佛醇,6mL生理盐水。骶管注药完毕立即CT扫描,观察药物在椎管内的扩散平面;注药前后接受Verbal Pain Score(VPS)和Oswestry Disa-bility Index(ODI)评分。结果注药后76例患者CT扫描观察结果有2例达到第4腰椎下缘,5例达到第3腰椎上缘水平59例达到第4腰椎水平,5例达到第2腰椎水平,2例达到第一腰椎水平,3例达第12胸椎水平。72例患者注药后均有不同程度的改善,4例无改善。治疗后的VPS和ODI优于治疗前,注药前后之间有统计学差异(P=0.00007)。结论骶管注药20mL可有效治疗腰椎间盘突出症,骶管注药治疗可明显缓解疼痛,提高生活质量。因此我们认为这种安全简单的方法可应用于腰椎间盘突出症患者治疗,可帮助获得更好的临床疗效。

【Objective】 to observe the note medicine drugs in of the spread of the spinal canal plane,the clinical curative effect of the patients.【Methods】 76 cases of the knowledge of the lumbar intervertebral disc herniation of the patients＇ Caudal Epidural Injections and two mL 20 mL prednisolone acetate dragon,2 mL lidocaine,10 mL iodine Buddha alcohol,6 mL saline.Caudal Epidural Injections immediately after CT scan,observe the diffusion of the drug in the spinal canal plane;Note medicine accept Verbal Pain Score before and after（VPS） and Oswestry Disability Index（ODI） rating.【Results】 76 cases of patients after drug injection CT scan observations have 2 cases 4 inferior to lumbar,5 cases with lumbar level 3 to 59 patients achieve lumbar level 4,5 cases to lumbar level 2,2 cases reached first lumbar level,3 cases of thoracic 12 level.72 patients Caudal Epidural Injection are different degree after improvement,4 cases without improvement.,the VPS and ODI after treatment is better than before treatment,note medicine between before and after a statistically significant（P=0.00007）.【Conclusion】 20 mL of tube note medicine can effectively treat prolapse of lumbar intervertebral disc,Caudal Epidural Injections medicine treatment dramatically alleviate pain,improve the quality of life.So we think this safety simple method can be applied to lumbar intervertebral disc herniation were treated,can help get better clinical curative effect.