CT引导定位低温等离子纤维环成形术在颈椎盘源性颈肩痛中的临床疗效

The effect of CT-guided low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain

目的评价CT引导定位低温等离子纤维环成形术在颈椎盘源性颈肩痛中的临床疗效。方法选取2016年5月~2017年5月,首都医科大学宣武医院疼痛科颈椎盘源性颈肩痛患者16例,CT引导定位行低温等离子纤维环成形术。记录术前,术后1周和术后1、3、6个月的疼痛视觉模拟评分(VAS);术后6个月依据Macnab标准评价疗效;记录不良反应发生情况。结果与术前比较,术后1周和1、3、6个月的VAS评分明显降低,差异有统计学意义(P<0.05),术后各时间点的VAS评分差异无统计学意义(P>0.05);术后依据Macnab标准评价疗效:优8例,良5例,可2例,差1例,优良率为81.2%;无不良反应发生。结论低温等离子纤维环成形术治疗颈椎盘源性颈肩痛安全有效,值得进一步推广。

Objective To evaluate the effect of CT-guided low temperature plasma fiber ring plasty in cervical disco- genie neck and shoulder pain. Methods From May 2016 to May 2017, 16 patients suffering cervical discogenic neck and shoulder pain in Xuanwu Hospital, Capital Medical University were selected. The pain visual analogue scale （VAS） scores were recorded before surgery, and 1 week, 1 month, 3 months, 6 months after the surgery. The efficacy was eval- uated according to Macnab standard 3 months after surgery. Adverse effects were recorded. Results Compared with be- fore the surgery, the pain VAS score obviously decreased 1 week, 1 month, 3 months and 6 months after surgery （P 〈 0.05）, and no differences were observed at different time points after surgery （P 〉 0.05）. According to Macnab standard, the count of excellent, good, average and bad was 8, 5, 2, 1. The percent of excellent and good was 81.2%. No adverse effect was recorded. Conclusion The low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain is safe and effective, which is worthy of extension.