摘要
目的探讨射频联合三氧治疗椎间盘源性腰痛的临床疗效。方法腰椎间盘源性腰痛患者60例，随机分3组，每组20例，射频治疗组（A组），三氧治疗组（B组），射频联合三氧治疗组（C组）。采用VAS视觉模拟疼痛评分作为疼痛程度评价指标，以改良MacNab标准评估治疗效果。观察治疗后1周、3周、2个月VAS及术后2个月手术优良率。结果3组患者术后症状均有不同程度的缓解，未见不良反应及并发症。术后VAS疼痛分值C组低于其他2组，术后与术前有统计学差异（P〈0．05），C组术后2个月优良率为16／20例，高于A组和B组（P〈0．05）。结论射频联合三氧治疗椎间盘源性腰痛微创、安全、有效，且疗效优于单独应用射频或三氧治疗。
Objective To observe the therapeutic effect of radiofrequency combined with ozone injected into intervertebral disc and paravertebral space on discogenic back pain（DBP）. Methods Sixty patients with DBP were randomly divided into three groups, twenty cases in each group. The patients in group A were treated with radiofrequency,those in group B were treated with ozone,and the patients in group C with radiofrequency combined with ozone. Therapeutic effects were evaluated on 1 week,3 weeks and 2 months after the treatment by VAS and MacNab＇s method. Results The patients＇ symptoms in three groups were improved at different degree, without adverse reactions and other complications. The VAS in group C were significantly lower than those in other two groups （P〈0.05）. The effective rate in group C was 16/20 cases, which was significantly higher than that in group A and group B （P〈0. 05）. Conclusion The radiofrequency combined with ozone injected into intervertebral disc is an effective, safe and minimally invasive method in treating discogenic back pain, and the therapeutic effect is superior to radiofrequency or ozone only.
出处
《实用疼痛学杂志》
2010年第6期422-425,共4页
Pain Clinic Journal
关键词
导管消融术
射频
三氧
椎间盘源性腰痛
外科手术
微创性
治疗效果
Catheter Ablation, Radiofrequency
Ozone
Discogenic Back Pain
SurgicalProcedures, Minimally Invasive~ Treatment Outcome
