[1]郝明,张立新,王立忠,等.CT引导下选择性经皮射频消融术治疗腰椎关节突关节源性腰痛[J].中医正骨,2019,31(05):66-68.
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CT引导下选择性经皮射频消融术治疗腰椎关节突关节源性腰痛()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年05期
页码:
66-68
栏目:
临床报道
出版日期:
2019-05-20

文章信息/Info

作者:
郝明; 张立新; 王立忠; 石雷; 崔佳智
(北京中医医院顺义医院,北京 101300)
关键词:
腰痛;  椎关节突关节;  导管消融术
摘要:
目的:探讨CT引导下选择性经皮射频消融术治疗腰椎关节突关节源性腰痛的临床疗效和安全性。方法:2016年10月至2017年10月,采用CT引导下选择性经皮射频消融术治疗腰椎关节突关节源性腰痛患者30例,男16例、女14例。年龄61～82岁,中位数71岁。腰椎出现双侧症状8例,单侧症状22例。责任节段位于L3～S15例、L4～S118例、L4～L54例、L5～S13例。观察腰部疼痛缓解、腰椎功能恢复及并发症发生情况。结果:30例患者均顺利完成手术。腰部疼痛视觉模拟量表评分,术前为(7.26±1.34)分,术后1 d、3个月、6个月和12个月分别为(0.68±0.36)分、(0.74±0.52)分、(0.79±0.45)分、(0.62±0.58)分。采用Nakai腰痛手术疗效评价系统评价疗效,术后12个月优20例、良9例、可1例。均无感染、神经损伤等并发症发生。结论:采用CT引导下选择性经皮射频消融术治疗腰椎关节突关节源性腰痛,能够缓解腰部疼痛,促进腰椎功能的恢复,并发症少,值得临床推广应用。

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更新日期/Last Update: 2019-05-20