摘要
目的 :探讨硬膜外腔阻滞法和临床表现与疗效的关系。方法 :对 10 8例腰椎间盘患者在硬膜外阻滞的基础上 ,采用硬膜外腔快速注射阻滞法治疗 ,每周 1次 ,3～ 4周为一疗程 ,并对临床疼痛计分、MRI/CT改变进行分析。结果 :71例优 ,2 0例良 ,9例一般 ,8例差。显示CT和MRI片为中央型椎间盘并且尚未脱出的患者 ,临床上以疼痛为主 ,采用硬膜外阻滞疗法可以避免不必要的手术。而对于椎间孔及侧隐窝部位的椎间盘效果较差 ,结合临床症状是以麻木为主 ,此类有明确压迫者应进行减压治疗。结论 :硬膜外腔快速注射阻滞法是一种腰椎间盘突出症的有效疗法。明确腰椎间盘突出症的病理部位可指导对其治疗方法的正确选择。病变程度、注射技术也是影响疗效的因素。
Objective: To investigate the clinical results and its relative factors of epidural injection treatment for lumbar disc hemiation Methods:One hundred and eight cases of lumbar disc hemiation were given epidural impulsing injection once per week for 3 to 4 weeks During the study, the visual analog pain score, the pathogenesis, history and characteristics on imaging (CT and/or MRI) were analyzed Eight cases had received surgery after the initial injection Results:Functional evaluation revealed excellent in 71 cases, good in 20 cases, fair in 9 cases and poor in 8 cases According to characteristics on imaging (CT and/or MRI) and observe during the operation It was found that the site of lumbar disc hemiation played the main with role in the final outcome Conclusoin: The results of treatment for lumbar disc hemiation with epidural high speed injection can be confirmed special to the pain of the cases The degree of pathology, the techniques of injection, the components of injection and the timing of injection are the important factors for a better outcome of the treatment of lumbar disc hemiation The site of pathology is the guidance of the choice treatment
出处
《广州医药》
2002年第2期39-40,共2页
Guangzhou Medical Journal
