[1]陈亦鹏,王栋,许锦超,等.脊柱内镜下脊神经背内侧支射频消融术治疗关节突关节源性腰痛的安全性评价[J].中医正骨,2020,32(12):53-55.
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脊柱内镜下脊神经背内侧支射频消融术治疗关节突关节源性腰痛的安全性评价()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年12期
页码:
53-55
栏目:
临床报道
出版日期:
2020-12-20

文章信息/Info

作者:
陈亦鹏1; 王栋2; 许锦超3; 程伟3; 潘浩1
(1.杭州市中医院,浙江 杭州 310007; 2.杭州市丁桥医院,浙江 杭州 310021; 3.浙江中医药大学附属广兴医院,浙江 杭州 310007)
关键词:
腰痛;  椎关节突关节;  内窥镜检查;  脊神经根切断术;  导管消融术;  手术后并发症;  磁共振成像
摘要:
目的:探讨脊柱内镜下脊神经背内侧支射频消融术治疗关节突关节源性腰痛的安全性。方法:2015年9月至2019年2月,采用脊柱内镜下脊神经背内侧支射频消融术治疗关节突关节源性腰痛患者17例。分别于术前和术后1个月,行腰椎MRI检查,测量、计算手术节段多裂肌与脊旁肌横截面积比、多裂肌内部脂肪浸润面积比,比较手术前后的测量结果进行安全性评价。结果:17例患者,消融2支神经4例、消融3支神经9例、消融4支神经4例。手术节段位于L2～3左侧12例、右侧12例,L3～4左侧14例、右侧13例,L4～5左侧11例、右侧9例,L5S1左侧9例、右侧8例。手术各节段多裂肌与脊旁肌横截面积比、多裂肌内部脂肪浸润面积比手术前后的差异均无统计学意义[多裂肌与脊旁肌横截面积比:L2～3术前(15.04±3.58)%、术后1个月(14.92±3.24)%,t=0.566,P=0.577; L3～4术前(24.72±4.41)%、术后1个月(25.15±4.49)%,t=-1.944,P=0.063; L4～5术前(35.11±4.62)%、术后1个月(34.79±4.66)%,t=1.055,P=0.305; L5S1术前(54.41±6.01)%、术后1个月(53.99±5.82)%,t=1.644,P=0.120。多裂肌内部脂肪浸润面积比:L2～3术前(18.51%±8.06)%、术后1个月(17.79±8.32)%,t=1.122,P=0.273; L3～4术前(18.67±8.73)%、术后1个月(18.37±8.97)%,t=0.471,P=0.641; L4～5术前(18.82±7.19)%、术后1个(18.36±7.92)%,t=0.759,P=0.457; L5S1术前(29.05±13.39)%、术后1个月(28.48±12.33)%,t=0.791,P=0.441]。结论:脊柱内镜下脊神经背内侧支射频消融术治疗关节突关节源性腰痛,术后发生多裂肌萎缩、脂肪变性的概率较低,安全性好。

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备注/Memo

备注/Memo:
基金项目:浙江省科技计划项目(2017C33208)
通讯作者:潘浩 E-mail:harper1966@163.com
更新日期/Last Update: 2020-12-20