射频热凝治疗腰脊神经后支损伤性腰痛症40例

目的：观察射频热凝治疗腰脊神经后支损伤性腰痛症的疗效和安全性。方法：腰脊神经后支损伤性腰痛症80例随机分为射频治疗组（A组）和神经阻滞治疗纽（B纽）各40例。A纽在DSA下行经皮穿刺腰脊神经后支射频热凝治疗，B组在DsA下行腰脊神经后支常规神经阻滞治疗。观察2组患者腰痛改善、腰部活动度及压痛恢复情况。结果：A组治疗后3d、1周、1个月及3个月腰痛改善、腰部活动度和压痛恢复均较B组明显，差异有统计学意义（P＜0．05）。结论：射频热凝腰脊神经后支治疗后支损伤性腰痛症有效率高，疼痛评分改善明显，腰部活动度恢复良好，且持续时间久，是一种值得推广应用的治疗方法。

40 Cases Report of RadioFrequency Ablation in Treating to the Low Back Pain Caused by Lumbar Nerve Injury

Objective:To observe the effectiveness and safety of radiofrequency ablation in treating to the low back pain caused by lumbar nerve injury.Methods:80 patients with the low back pain caused by lumbar nerve injury were randomly divided into the radiofrequency treatment group(group A) and the nerve block treatment group(group B).Patients in group A were treated with radiofrequency ablation with the help of DSA;patients in group B were taken with conventional nerve block treatment with the help of DSA.Improved low back pains,the activity of waist and tenderness recovery were observed.Results:There were significant difference in improved low back pain,the activity of waist and tenderness of recovery in Group A,after treatment,at the point of 3 days,1 week,1 month and 3 months after the treatment(P<0.05),compared with those in group B.Conclusions:This method is worthy of application in clinical,as it can achieve a good effective rate,the pain scores improved significantly,the waist activity recovered well,and it lasts a long time.