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等离子刀装置消融配合牵引治疗腰椎间盘突出症120例

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摘要 目的探讨等离子刀装置进行腰椎间盘突出症射频消融方法治疗的效果。方法选择2003-03/2005-07郧阳医学院附属太和医院放射科收治的腰椎间盘突出症患者120例。采用等离子装置进行椎间盘髓核射频消融治疗。于相应平面距离棘突6~10cm处穿刺进入椎间盘,注入抗生素溶液1.0~2.0mL,用100~150W输出功率进行髓核消融处理2~4min。手术后卧床休息2d后行三维慢速牵引1周。结果①症状消失78例,明显好转23例,中度好转12例,有效率94%,7例无效,无明显并发症。②椎间盘穿刺一次穿刺成功率100%。射频消融作用时间平均2.5min。结论等离子装置进行椎间盘消融是治疗腰椎间盘突出症适应证较切割手术广泛,利用适当的射频剂量和积极的手术后处理可以达到满意的临床疗效。
出处 《中国临床康复》 CSCD 北大核心 2006年第16期106-106,120,F0003,共3页 Chinese Journal of Clinical Rehabilitation
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