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等离子射频消融术治疗椎间盘源性腰痛初步临床分析
引用本文:张志,张飞,张霄雁.等离子射频消融术治疗椎间盘源性腰痛初步临床分析[J].内蒙古医学杂志,2012,44(3):277-278.
作者姓名:张志  张飞  张霄雁
作者单位:内蒙古医学院第三附属医院骨科,内蒙古包头,014010
摘    要:目的:观察等离子射频消融术治疗椎间盘源性腰痛的近期治疗效果.方法:2009年4月~2011年10月对47例椎间盘源性腰痛患者,采用等离子消融术治疗,采用视觉模拟评分法(VAS)观察其近期疗效.结果:平均随访13个月(6~22月).VAS评定结果显示患者手术前后的VAS分值改变差异有统计学意义(P<0.01).术后6个月复查腰椎X线片,未见相应椎间隙狭窄.所有患者无术后感染、神经损伤、血管损伤等并发症发生.结论:对于椎间盘源性腰痛,等离子射频消融术是一种安全、有效的微创治疗方法.

关 键 词:椎间盘源性腰痛  微创  髓核成形

Preliminary study on Percutaneous Lumbar Nucleoplasty using Coblation Technology for the Treatment of Discogenic Low Back Pain
ZHANG Zhi , ZHANG Fei , ZHANG Xiao-yan.Preliminary study on Percutaneous Lumbar Nucleoplasty using Coblation Technology for the Treatment of Discogenic Low Back Pain[J].Inner Mongolia Medical Journal,2012,44(3):277-278.
Authors:ZHANG Zhi  ZHANG Fei  ZHANG Xiao-yan
Institution:(Department of Orthopaedic,The Third Affiliated Hospital of Inner Mongolia College,Baotou 014010 China)
Abstract:Objective:To evaluate the effectiveness of coblation technology for nucleoplasty in patients with discogenic low back pain.Methods:47 patients underwent a nucleoplasty procedure on the pathological disc from April 2009 to October 2011.Postoperative clinical outcomes,visual analog scale(VAS) scores was assessed preoperatively,at 2 week,and 24 week after surgery.Results:The mean follow-up was 13months(range 6-22months).VAS scores showed statistically significant improvements(P<0.01).X-ray of the cervical spine demonstrated no corresponding vertebral space narrowing 6 months after nucleoplasty.No major complications occurred during follow-up periods.Conclusion:Percutaneous coblation technology for nucleoplasty are minimally invasive and offer chievement of good operative results in patients with discogenic low back pain.
Keywords:Discogenic low back pain  Minimally  invasive  Nucleoplasty
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