Objective: To observe the clinical effect of modified akupotomye closed lysis under CT guidance on compression of posterior lumbar nerve branch.Methods: Patients were diagnosed by HRCT 3-D reconstruction combined with...Objective: To observe the clinical effect of modified akupotomye closed lysis under CT guidance on compression of posterior lumbar nerve branch.Methods: Patients were diagnosed by HRCT 3-D reconstruction combined with clinical symptoms and signs.After HRCT three-dimensional reconstruction combined with clinical symptoms and signs, the patients were confirmed as posterior lumbar nerve compression.After CT accurate surface positioning, CT-guided modified akupotomye was used for closed lysis of the posterior lumbar nerve branch.Oswestry Dysfunction Index Questionnaire(ODI) was used for quantitative scoring, 7 days before and after treatment and 6 months after treatment.Results: In 62 cases, 20 cases were cured, with 25 cases markedly effective, 11 cases effective, and 36 cases ineffective.The total effective rate was 90.3%.ODI score: Self-paired t test 7 days before after treatment, P < 0.01;Before treatment and 6 months after treatment, self-paired t test(P < 0.01);Self-paired t-test was performed 7 days after treatment and 6 months after treatment(P > 0.05).Conclusion: With CT precise positioning, the modified akupotomye can be used to do closed lysis, to relieve the adhesion and compression, so that the low back pain can be relieved, with good clinical.The akupotomye closed lysis, combined with modern imaging technology has not only achieved good clinical effect, but also can improve the accuracy, safety and scientificity of akupotomye treatment.展开更多
目的观察脊神经后支射频消融术治疗腰脊神经后支卡压综合征患者的有效性和安全性。方法选择疼痛科2021年10月至2023年12月期间收治的腰脊神经后支卡压综合征患者,根据手术方式的不同分为脊神经后支射频消融术(射频组)75例和脊神经后支...目的观察脊神经后支射频消融术治疗腰脊神经后支卡压综合征患者的有效性和安全性。方法选择疼痛科2021年10月至2023年12月期间收治的腰脊神经后支卡压综合征患者,根据手术方式的不同分为脊神经后支射频消融术(射频组)75例和脊神经后支神经阻滞术(阻滞组)75例。对患者按治疗周期时点1、3、6个月进行术后随访,利用视觉模拟评分法Visual Analog Scores(VAS)评价治疗前后疼痛评分、Oswestry功能障碍指数(ODI)评估腰椎功能、术后复发率及术后并发症情况。以最后一次随访为时间点,用MacNab评定标准评定治疗优良率及有效率。结果与术前相比,两组患者各时间点VAS评分、ODI指数均降低(P<0.05)。且射频组较阻滞组评分更低(P<0.05);治疗后两组临床疗效比较,射频组优良率及有效率均明显优于阻滞组(P<0.05);在安全性方面,射频组3、6个月复发率及总体复发率较阻滞组更低(P<0.05),在治疗过程中仅有3例患者出现术后局部肿胀或轻微疼痛[射频组1例、阻滞组2例(P>0.05)],术后2 d内缓解。结论对于腰脊神经后支卡压综合征引起疼痛,脊神经后支射频消融术能够有效的缓解疼痛,操作安全,不良反应少,值得临床推广。展开更多
目的探讨腰脊神经后支阻滞联合体外冲击波治疗腰椎小关节源性腰痛的效果。方法选取2021年1月至2022年12月枣庄市中医医院收治的86例腰椎小关节源性腰痛患者作为研究对象,按照随机数字表法分为对照组与观察组,各43例。对照组予以腰脊神...目的探讨腰脊神经后支阻滞联合体外冲击波治疗腰椎小关节源性腰痛的效果。方法选取2021年1月至2022年12月枣庄市中医医院收治的86例腰椎小关节源性腰痛患者作为研究对象,按照随机数字表法分为对照组与观察组,各43例。对照组予以腰脊神经后支阻滞治疗,观察组在对照组基础上联合体外冲击波治疗。比较两组临床疗效、腰椎功能[日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)]、腰椎活动度(前屈、后伸)、疼痛程度[视觉模拟评分法(visual analogue scale,VAS)]、日常生活能力[Barthel指数(Barthel index,BI)]、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、生命质量[世界卫生组织生存质量测定量表简表(the World Health Organization quality of life-BREF,WHOQOL-BREF)]、不良反应发生情况。结果观察组治疗总有效率为95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05)。治疗后,两组主观症状、临床体征、日常活动受限评分及总分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组前屈、后伸活动度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。治疗后,两组VAS、ODI评分均低于治疗前,BI评分均高于治疗前,且观察组VAS、ODI评分均低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组生理、心理、社会、环境评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未出现明显不良反应。结论腰脊神经后支阻滞联合体外冲击波治疗腰椎小关节源性腰痛效果显著,可减轻患者腰痛症状,加快腰椎功能恢复,提高腰椎活动能力,改善生命质量。展开更多
文摘Objective: To observe the clinical effect of modified akupotomye closed lysis under CT guidance on compression of posterior lumbar nerve branch.Methods: Patients were diagnosed by HRCT 3-D reconstruction combined with clinical symptoms and signs.After HRCT three-dimensional reconstruction combined with clinical symptoms and signs, the patients were confirmed as posterior lumbar nerve compression.After CT accurate surface positioning, CT-guided modified akupotomye was used for closed lysis of the posterior lumbar nerve branch.Oswestry Dysfunction Index Questionnaire(ODI) was used for quantitative scoring, 7 days before and after treatment and 6 months after treatment.Results: In 62 cases, 20 cases were cured, with 25 cases markedly effective, 11 cases effective, and 36 cases ineffective.The total effective rate was 90.3%.ODI score: Self-paired t test 7 days before after treatment, P < 0.01;Before treatment and 6 months after treatment, self-paired t test(P < 0.01);Self-paired t-test was performed 7 days after treatment and 6 months after treatment(P > 0.05).Conclusion: With CT precise positioning, the modified akupotomye can be used to do closed lysis, to relieve the adhesion and compression, so that the low back pain can be relieved, with good clinical.The akupotomye closed lysis, combined with modern imaging technology has not only achieved good clinical effect, but also can improve the accuracy, safety and scientificity of akupotomye treatment.
文摘目的观察脊神经后支射频消融术治疗腰脊神经后支卡压综合征患者的有效性和安全性。方法选择疼痛科2021年10月至2023年12月期间收治的腰脊神经后支卡压综合征患者,根据手术方式的不同分为脊神经后支射频消融术(射频组)75例和脊神经后支神经阻滞术(阻滞组)75例。对患者按治疗周期时点1、3、6个月进行术后随访,利用视觉模拟评分法Visual Analog Scores(VAS)评价治疗前后疼痛评分、Oswestry功能障碍指数(ODI)评估腰椎功能、术后复发率及术后并发症情况。以最后一次随访为时间点,用MacNab评定标准评定治疗优良率及有效率。结果与术前相比,两组患者各时间点VAS评分、ODI指数均降低(P<0.05)。且射频组较阻滞组评分更低(P<0.05);治疗后两组临床疗效比较,射频组优良率及有效率均明显优于阻滞组(P<0.05);在安全性方面,射频组3、6个月复发率及总体复发率较阻滞组更低(P<0.05),在治疗过程中仅有3例患者出现术后局部肿胀或轻微疼痛[射频组1例、阻滞组2例(P>0.05)],术后2 d内缓解。结论对于腰脊神经后支卡压综合征引起疼痛,脊神经后支射频消融术能够有效的缓解疼痛,操作安全,不良反应少,值得临床推广。
文摘目的探讨腰脊神经后支阻滞联合体外冲击波治疗腰椎小关节源性腰痛的效果。方法选取2021年1月至2022年12月枣庄市中医医院收治的86例腰椎小关节源性腰痛患者作为研究对象,按照随机数字表法分为对照组与观察组,各43例。对照组予以腰脊神经后支阻滞治疗,观察组在对照组基础上联合体外冲击波治疗。比较两组临床疗效、腰椎功能[日本骨科协会评估治疗(Japanese Orthopaedic Association scores,JOA)]、腰椎活动度(前屈、后伸)、疼痛程度[视觉模拟评分法(visual analogue scale,VAS)]、日常生活能力[Barthel指数(Barthel index,BI)]、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、生命质量[世界卫生组织生存质量测定量表简表(the World Health Organization quality of life-BREF,WHOQOL-BREF)]、不良反应发生情况。结果观察组治疗总有效率为95.35%,高于对照组的81.40%,差异有统计学意义(P<0.05)。治疗后,两组主观症状、临床体征、日常活动受限评分及总分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组前屈、后伸活动度均大于治疗前,且观察组大于对照组,差异有统计学意义(P<0.05)。治疗后,两组VAS、ODI评分均低于治疗前,BI评分均高于治疗前,且观察组VAS、ODI评分均低于对照组,BI评分高于对照组,差异有统计学意义(P<0.05)。治疗后,两组生理、心理、社会、环境评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组治疗期间均未出现明显不良反应。结论腰脊神经后支阻滞联合体外冲击波治疗腰椎小关节源性腰痛效果显著,可减轻患者腰痛症状,加快腰椎功能恢复,提高腰椎活动能力,改善生命质量。
