经筋刀治疗腰椎小关节骨关节炎的临床疗效观察

Clinical effect observation of tendon knife in the treatment of lumbar facet joint osteoarthritis

目的:观察CT引导下经筋刀治疗腰椎小关节骨关节炎的临床疗效。方法:按照纳入标准和排除标准,将符合腰椎小关节骨关节炎的58例患者,给予经筋刀治疗,术后评价疼痛评分及优良率。结果:治疗后分别对第1、4周的疼痛评分及优良率进行比较:治疗前视觉模拟评分法(Visual Analogue Scale,VAS)评分为(6.2±2.1)分和治疗后第1、4周VAS评分分别为(1.4±1.7)(、1.7±2.4)分,治疗前与治疗后比较差异具有统计学意义(P<0.01);优良率:治疗后第1、4周分别为86.21%(50/58)和81.34%(47/58),两组之间比较差异无统计学意义(P>0.05)。结论:经筋刀治疗腰椎小关节骨关节炎疗效肯定,安全可靠,不良反应发生率低,患者满意率高。

Objective: To observe the clinical effect of treating lumbar facet joint osteoarthritis with CT-guided tendon knife.Methods: According to the inclusion criteria and exclusion criteria, 58 patients with lumbar facet osteoarthritis were treated with tendon knife, the postoperative pain score and excellent and good rate were evaluated.Results: The visual analogue scale(VAS) score was(6.2±2.1) before treatment and(1.4±1.7) and(1.7±2.4) one week and four weeks after treatment, and the score before and after treatment showed statistical difference(P<0.01). Good rates were 86.21%(50/58) and 81.34%(47/58) one week and four weeks after treatment,respectively, there was no statistical difference between the two groups(P>0.05).Conclusion: The curative effect of tendon knife is positive in treating lumbar facet joint osteoarthritis, it is safe and reliable, the incidence of adverse reactions is low, and the patient satisfaction rate is high.