摘要
【目的】分析等离子刀治疗腰椎间盘突出症的疗效。【方法】回顾性分析72例经等离子刀治疗的腰椎间盘突出症患者,统计并分析术前、术后3个月和术后6个月的疼痛程度(VAS)、治疗效果和并发症情况。【结果】术后3个月、6个月时,72例患者的VAS评分分别为1.4±1.3和1.3±1.1,均显著低于术前(7.4±2.3)(P<0.05);而术后3个月、6个月时VAS评分无显著差异(P>0.05)。术后3个月时,72例患者中,痊愈17例,显效50例,有效3例,无效2例。痊愈率为23.61%(17/72),显效率为93.06%(57/72)。术后随访6个月,无一例患者出现明显手术相关并发症。【结论】等离子刀治疗腰椎间盘突出症损伤极小、操作简单、耗时少、疗效佳、恢复快、并发症少,是值得推广的一种新微创治疗方法。
[Objective]To analyze the therapeutic effect of the lumbar intervertebral disc protrusion treated with plasma knife. [Methods]Clinical data of 72 cases with lumbar intervertebral disc protrusion treated with plasma knife were reviewed retrospectively. The pain level （visual analogue scale, VAS） of the preoperation in 3 months after operation and 6 months after operation, therapeutic efficacy and complications were also analyzed. [Results] The VAS score of 72 cases in 3 months after operation was significant lower than that of the preoperation（1.4± 1.3 vs 7.4± 2.3, P 〈0.05）, similarly the VAS score in 6 months after operation was significant lower than that of the preoperation（1.3 ± 1. ] vs 7.4± 2.3, P 〈0. 05）, while there was similar VAS scores between the 3 months and the 6 months after operation（ P 〉0.05）. Three months after the operation, among 72 cases, 17 cases were fully recovered, 50 excellent, 3 effective and 2 ineffective. There were no complications in 6-month follow-up. [Conclusion]Plasma knife is a promising treatment option for patients with lumbar intervertebral disc protrusion. It has advantages of less damage, simple procedure, short time, good therapeutic effect, quick recovery and less complication, so it should be widely used.
出处
《医学临床研究》
CAS
2008年第7期1252-1254,共3页
Journal of Clinical Research
关键词
腰椎
椎间盘移位/外科学
lumbar vertebrae, intervertebral disk displacement/SU
