椎间孔镜下联合等离子射频消融髓核成形术治疗椎间盘源性腰痛疗效观察

Clinical Observation of Intervertebral Foramen Endoscope Combined with Plasma Radiofrequency Ablationin the Treatment of Discogenic Low Back Pain

目的:观察椎间孔镜下联合等离子射频消融髓核成形术治疗椎间盘源性腰痛的疗效。方法:选取某院2015年2月~2016年3月收治的椎间盘源性腰痛患者100例,根据随机数表法分为观察组及对照组,各50例。对照组实施椎间孔镜下髓核摘除术,观察组实施椎间孔镜下等离子射频消融髓核成形术,观察并比较两组术后疼痛改善情况、疗效、并发症发生情况及术后12个月复发情况。结果:术后不同时间段,观察组疼痛情况改善均优于对照组,治疗总有效率高于对照组,差异有统计学意义(P<0.05);两组患者术后并发症发生率比较,差异无统计学意义(P>0.05);两组术后12个月进行末次随访时均未见复发情况发生。结论:椎间孔镜下联合等离子射频消融髓核成形术治疗椎间盘源性腰痛疗效较椎间孔镜下髓核摘除术好,患者术后疼痛情况缓解明显,不会增加患者并发症发生风险,患者远期无复发,治疗安全性高,临床疗效显著。

Objective： To observe the effect of intervertebral foramen endoscope combined with plasma radiofrequency ablation on the treatment of discogenic low back pain. Methods： 100 cases of patients with discogenic low back pain in a hospital from February 2015 to March 2016 were selected according to the random table method and divided into observation group and control group, each group had 50 cases.In the control group, the nucleus pulposus resection was carried out by intervertebral foramen endoscope, and the plasma radiofrequency ablation was carried out by intervertebral foramen endoscope in the observation group.The results of postoperative pain improvement, curative effect, complication and recurrence of 12 months after operation were observed and compared. Results： The improvement of pain in the observation group was better than that of the control group at different time, the total effective rate was higher than the control group, and the difference was statistically significant （ P 〈0.05）.There was no statistically significant difference in postoperative complication rate between the two groups （ P 〉0.05）.No recurrence was seen in the last follow-up 12 months after the two groups of operation. Conclusion： The therapeutic effect of intervertebral foramen endoscope combined with plasma radiofrequency ablation on the treatment of discogenic low back pain is better than that of endoscopic discectomy, and the postoperative pain relief is obvious, which does not increase the risk of complication, the patient has no recurrence, the treatment is safe and the clinical curative effect is significant.