射频热凝靶点技术治疗腰椎间盘突出症疗效分析

Radiofrequency Ablation of Targets for the Treatment of Lumbar Disc Herniation

目的:探讨射频热凝靶点技术治疗腰椎间盘突出症的临床疗效。方法:对36例患有腰椎间盘突出症患者实施经皮射频热凝靶点技术治疗腰椎间盘突出症,对其治疗效果进行评价。结果:术后1个月疗效较平稳,疼痛及麻木症状明显改善。VAS评分显示:术前(6.45±0.41)分,术后即刻(2.22±0.65)分,术后14d(2.49±0.81)分,术后2月(2.33±0.70)分,术后半年(2.42±0.67)分。术后半年和术前比较差异有统计学意义(P<0.01)。患者主观满意度优良率94.9%。术前R值(0.256±0.002),术后14d(0.252±0.002),两者比较差异无统计学意义(P>0.05),无并发症发生。结论:射频热凝靶点技术治疗腰椎间盘突出症具有对组织损伤小、毁损的程度可控、无手术切口、术后疼痛轻微甚至无疼痛感觉,术后卧床休息时间短等优点,值得临床上推广。

Objective：To investigate the clinical efficacy of radiofrequency ablation of target treatment of lumbar disc herniation. Method：Implementation of radiofrequency ablation of targets of percutaneous treatment of lumbar disc herniation：36 cases suffering from lumbar disc herniation patients, to evaluate its therapeutic effect.Result：l month after the effect was relatively stable, pain and numbness symptoms improved. VAS score：（6.45 ± 0.41）before surgery, immediately after（2.22 ± 0.65）points after 14 days（2.49 ±0.81） points, to（2.33 ±0.70）after 2 months, after six months（2.42 ± 0.67）points.After six months and before surgery were compared, the difference was statistically significant （P〈0.01）.Patients with subjective satisfaction with the excellent and good rate of about 94.9%.Preoperative R value was（0.256 ± 0.002）, after 14 days was（0.252 ± 0.002）, both compared to no statistically significant difference（P〉0.05）and no complications occurred.Condusion：Radiofrequency thermocoagulation target for the treatment f umbar intervertebra disc herniatin tissue injury and the extent f damage is cntred no surgical incision, postoperative pain, slightor no pain, postoperative stay in bed for a short time to rest, it is worth to clinical practice.