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颈椎间盘消融术治疗颈椎间盘突出源性眩晕的临床分析
引用本文:汪巍,李广松,曹赫基,索令山,季立平,胡素兰,刘伟. 颈椎间盘消融术治疗颈椎间盘突出源性眩晕的临床分析[J]. 淮海医药, 2011, 29(5): 383-384
作者姓名:汪巍  李广松  曹赫基  索令山  季立平  胡素兰  刘伟
作者单位:安徽省蚌埠市骨伤科,医院,骨伤科,233000
基金项目:安徽省蚌埠市科技局计划项目
摘    要:
目的 探讨分析颈椎间盘突出在眩晕病中的发病机制,评价微创介入颈椎间盘消融术治疗椎间盘突出源性眩晕的疗效.方法 我们将2009~2010年我科就诊的173例以眩晕为主诉的患者,按照随机、对照的原则进行分组,观察组行微创介入椎间盘消融,术后用抗生素、甘露醇、地塞米松、七叶皂苷钠静脉滴注治疗;对照组行颈椎牵引、推拿、手法正...

关 键 词:颈椎间盘突出源性眩晕  颈椎间盘突出  射频  消融术  臭氧

Application of cervical intervertebral disc ablation in the treatment of cervical intervertebral disc herniation vertigo:A clinical analysis
Affiliation:WANG Wei,LI Guang-song,CAO He-ji,et al.(Department of Orthopedics,Bone and Trauma Hospital of Bengbu,Anhui 233000,China)
Abstract:
Objective To explore the disease pathogenesis of cervical intervertebral disc herniation in vertigo and evaluate the therapeutic effect of minimal invasive cervical intervertebral disc ablation in the treatment of disc herniation vertigo.Methods 173 cases of patients with vertigo from 2009 to 2010 in our hospital were randomly divided into a treatment group and a control group.Patients in the treatment group underwent minimal invasive surgery by ablation of intervertebral disc combined with post-operative antibiotics,dexamethasone,and sodium aescinate intravenous dripping.In contrast,therapeutic means such as cervical traction,massage,bonesetting and small needle knife with loose solution combined with intravenous dripping were applied in the control group.The visual analog scale(VAS) system recorded the states of the patients before and after the treatment and in the follow-up period and assessment was made.Results The treatment group could achieve the immediate post-operative improvement in symptoms.After a long-term follow-up,this group could still manifest better clinical effect than the control group.The therapeutic assessment was superior to that of the control group.The two groups were statistically different.Conclusion Cervical intervertebral disc herniation accounts much for the pathogenesis of vertigo.Application of cervical intervertebral disc ablation for the treatment of cervical intervertebral disc herniation vertigo has a good therapeutic effect.
Keywords:Cervical intervertebral disc herniation vertigo  Cervical intervertebral disc herniation  Radiofrequency  Ablation  Ozone
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