经皮穿刺手动调压脉冲射频模式治疗颈椎间盘突出症

THE CLINICAL EFFECTS OF PERCUTANEOUS PUNCTURE MANUAL VOLTAGE REGULATION PULSED RADIOFREQUENCY MODE ON CERVICAL DISC HERNIATION

目的：评估手动调压脉冲射频模式治疗颈椎间盘突出症的临床可行性。方法：2010年8月~2011年9月,112例颈椎间盘突出症患者,在C型臂X线机、CT或DSA引导下接受经皮穿刺手动调压脉冲射频模式治疗。观察并记录术前后的视觉模拟评分（visual analogue scale,VAS）,并进行疗效评估。结果：本组112例患者,经过该技术治疗后3 d,其中96例治疗效果达优级,14例治疗效果良好,2例效果差,优良率98.2%。其中,效果较差的2例是因为未把握好适应症。与术前VAS评分（7.8±0.4）相比,术后3天VAS评分（1.5±0.3）降低（P〈0.05）。结论：经皮穿刺手动调压脉冲射频模式治疗颈椎间盘突出症具有操作简单、易于掌握、创伤小、不影响脊柱生物力学稳定性、无严重并发症等特点。是一种可供临床选用的、效果确切又较为理想的颈椎间盘突出症治疗方法。

Objective： To evaluate the clinical effects of percutaneous puncture manual voltage regulation pulsed radiofrequency mode on the treatment cervical disc herniation. Methods： From August 2010 to September 2011, 112 patients with cervical disc herniation were given with percutaneous puncture manual voltage regulation pulsed radiofrequency mode guided through C arm X-ray machine, CT or DSA. The visual analogue scale （VAS） score and clinical effects were recorded before and after treatment. Results： After 3 d the treatment, the excellent cases were 96, the good cases were 14, and the bad cases were 2, the excellent and good rate was 98.2%. There were 2 bad cases because the doctor failed to grasp the good indication. Compared with pre-operation （7.8 ：t： 0.4）, the VAS at 3 d after operation （1.5 ＋ 0.3） was decreased （P 〈 0.05）. Conclusion： Percutaneous puncture manual voltage regulation pulsed radiofrequency mode therapy is a suitable treatment for cervical disc herniation, with the advantages of simple operation, easy to master, small trauma, not influencing the stability of spine biomechanics, no serious complications.