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椎间盘摘除术联合椎间盘内电热疗法治疗脱出型腰椎间盘突出症的临床应用
引用本文:朱雪娥,吴春根,张继,顾一峰,程永德,李明华. 椎间盘摘除术联合椎间盘内电热疗法治疗脱出型腰椎间盘突出症的临床应用[J]. 介入放射学杂志, 2009, 18(3)
作者姓名:朱雪娥  吴春根  张继  顾一峰  程永德  李明华
作者单位:上海市第六人民医院放射科,200233;上海市第六人民医院放射科,200233;上海市第六人民医院放射科,200233;上海市第六人民医院放射科,200233;上海市第六人民医院放射科,200233;上海市第六人民医院放射科,200233
摘    要:目的 研究经皮腰椎间盘摘除术(PLD)联合椎间盘内电热疗法(IDET)治疗脱出型腰椎间盘突出症的疗效.方法 回顾性分析87例患者,其中单纯PLD组39例,联合IDET组48例,术后观察、分析两组疗效及并发症.结果术后随访1~3年,平均25个月,两组术前、术后视觉模拟评分(VAS)均有改善,联合组较单纯组明显(P<0.01).治疗有效率(按Macnab标准):PLD+IDET组为87.5%,PLD组为76.9%,两组无明显差别(P>0.01).结论 PLD联合IDET与单纯PLD治疗脱出型腰椎间盘突出症均有较好疗效,联合组术后腰腿痛缓解较单纯组明显,两组术后长期功能恢复差异不显著.IDET有助于短期内减轻术后腰腿痛.

关 键 词:经皮腰椎间盘摘除术  椎间盘内电热疗法  椎间盘突出症

The clinical effectiveness of percutaneous lumbar diskectomy combined with intradiscal electrothermal therapy for lumbar disc herniation
ZHU Xue-e,WU Chun-gen,ZHANG Ji,GU Yi-feng,CHENG Yong-de,LI Ming-hua. The clinical effectiveness of percutaneous lumbar diskectomy combined with intradiscal electrothermal therapy for lumbar disc herniation[J]. Journal of Interventional Radiology, 2009, 18(3)
Authors:ZHU Xue-e  WU Chun-gen  ZHANG Ji  GU Yi-feng  CHENG Yong-de  LI Ming-hua
Affiliation:ZHU Xue-e,WU Chun-gen,ZHANG Ji,GU Yi-feng,CHENG Yong-de,LI Ming-hua. Department of Radiology,the Sixth People's Hospital,Shanghai 200233,China
Abstract:Objective To investigate the clinical effectiveness of percutaneous lumbar diskectomy (PLD) combined with intradiscal electrothermal therapy (IDET) for the treatment of lumbar disc herniation. Methods The clinical data of 87 patients with lumbar disc herniation were retrospectively analyzed. Of 87 cases, single PLD was performed in 39 and PLD followed by IDET in 48. The therapeutic results were measured and analyzed, and the complications were recorded. Results All patients were followed up for 12~36 months...
Keywords:percutaneous lumbar diskectomy  intradiscal electrothermal therapy  lumbar disc herniation  
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