摘要
目的随访腰椎间盘突出症引起坐骨神经痛患者疼痛评分情况,评价CT引导经皮穿刺注射类固醇激素治疗效果。方法286例患者在CT引导下用20G腰穿针穿至突出层面的神经根管内神经根周围,注射类固醇激素在硬膜外间隙。在治疗前后对所有患者采用视觉模拟疼痛评估(visualanaloguescale,VAS)标尺进行评分。结果286例患者术后均获得1～24个月随访。评估的结果主要根据患者的疼痛减轻程度,评估效果好者213例(74.5%),效果较好者36例(12.6%),效果不佳者37例(12.9%)。评估效果好和较好者占87.1%。结论CT引导经皮穿刺神经根管注射类固醇激素减轻患者的疼痛程度,其作用机制与激素消除水肿后减轻神经压迫症状有关。
AIM:To evaluate the effect of CT guided percutaneous steroid hormone injection on sciatica caused by lumbar intervertebral disc protrusion through follow up.METHODS:In a total of 286 patients,20 G waist puncture needles were punctured into the nerve root which were protruded near nerve root of the neural canal under CT guided.And the steroid hormone was injected into the epidural interspace.Visual analogue scale(VAS) was used to score the patients before and after treatment.RESULTS: All 286 patients received 1-24 month follow up after operation.On the basis of pain relief degree:213 cases had good effect (74.5%),36 had fair effect(12.6%),and 37 had bad effect(12.9%).The percentage of patients with good and fair effect was 87.1%.CONCLUSION:Percutaneous steroid hormone injection under CT guided can relieve the pain of patients. The mechanism is correlated with the relief of nerve compression symptoms after edema was removed due to hormone.
出处
《中国临床康复》
CSCD
2004年第23期4686-4687,共2页
Chinese Journal of Clinical Rehabilitation
