摘要
目的比较射频靶点热凝术与三氧髓核消融术治疗腰椎间盘突出症的疗效。方法选择腰椎间盘突出症患者120例，随机分为A、B两组各60例；A组实施射频靶点热凝术；B组实施三氧髓核消融术。比较两组治疗后5d视觉模拟评分及术前、术后随访JOA评分。结果治疗后5d时两组患者VAS评分均明显降低，差异有统计学意义（P〈0．05），但组间比较差异无统计学意义（P〉0．05）。随访时两组JOA评分较术前均明显增高；两组间比较A组JOA评分更高，疗效更明显，差异有统计学意义（P〈0．05）。结论射频靶点热凝术与三氧髓核消融术治疗腰椎间盘突出症患者安全，疗效均显著，两组比较射频靶点热凝术改善率高于三氧髓核消融术。
Objective To compare the efficacy of radiofrequency thermocoagulation and ozone nucleus pulposus ablation for the treatment of lumbar intervertebral disc herniation. Methods One hundred and twenty patients with lumbar intervertebral disc herniation were randomly divided into group A （radiofrequeney thermoeoagulation group） and 13 （ozone nucleus pulposus ablation group）. 60 cases in each. VAS and JOA were recorded after the operations. Results Compared with pre- operation, VAS was decreased on the fifth day after the operation （P〈0.05）. but there was no sig- nificant difference between the two groups （ P 〈0. 05 ）. Compared with pre-operation, JOA was increased at following-up. JOA in group A was higher than that in group B, and the efficacy was better in group A than that in group B（P〈0.05）. Conclusion Both the radiofrequency thermo- coagulation and ozone nucleus pulposus ablation are effective to treat the lumbar inter.vertebral disc herniation. But the efficacy of the radiofrequency the rmocoagulation is better.
出处
《实用疼痛学杂志》
2013年第1期29-32,共4页
Pain Clinic Journal
关键词
导管消融术
射频
靶点
三氧
腰椎间盘突出症
Catheter ablation
Radiofrequency
Target point
Ozone~ Lumbar rater- vertebral disc herniation
