| 椎间孔入路射频热凝术治疗腰椎间盘突出症临床疗效与突出物形态变化相关性研究 |
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| 引用本文： | 张学学,张达颖,章勇,王志剑,翁泽林.椎间孔入路射频热凝术治疗腰椎间盘突出症临床疗效与突出物形态变化相关性研究[J].中国疼痛医学杂志,2011,17(7). |
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| 作者姓名： | 张学学 张达颖 章勇 王志剑 翁泽林 |
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| 作者单位： | 南昌大学第一附属医院疼痛科,南昌,330006 |
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| 基金项目： | 江西省卫生厅科研项目(20091060)资助课题 |
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| 摘 要： | 目的:探讨经椎间孔入路射频热凝术治疗腰椎间盘突出症临床疗效及其与突出物大小变化相关性.方法:329例腰椎间盘突出症(单间隙侧后型突出)行椎间盘靶点射频热凝术的患者,术后3月、6月、12月,采用日本骨科协会(JOA)下腰痛疾患疗效判定标准评定术后疗效,术后12月随访到的患者中随机抽取30例行腰椎间盘CT检查,采用椎间盘突出指数评定计算突出物大小,分析突出物大小变化率与JOA评分改善率相关关系.结果:所有患者术中、术后均未出现严重副作用.术后3月、6月、12月分别随访到329例、270例、224例患者,各时间点优良率分别分72.64%,69.26%,73.66%;三个时间点优良率比较X<'2>=1.125(p=0.57),各随访时间点优良率差异常无统计学意义.术后JOA评分改善率及突出物大小变化率Rs=0.092(P>0.05).结论:经椎间孔入路椎间盘靶点射频热凝术是治疗腰椎间盘突症的一种安全、有效方法,其临床疗效与突出物大小变化无明显相关关系.
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| 关 键 词： | 腰椎间盘突出症 椎间孔入路 椎间盘射频热凝术 临床疗效 突出物大小 |
A CLINICAL STUDY ON THE THERAPEUTIC EFFECT AND SIZE REDUCTION OF DISC HERNIATION WITH PERCUTANEOUS TRANSFORAMINAL LUMBAR DISC RADIOFREQUENCY THERMOCOAGULATION |
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| ZHANG Xue-Xue,ZHANG Da-Ying,ZHANG Yong,WANG Zhi-Jian,WEN Ze-Lin.A CLINICAL STUDY ON THE THERAPEUTIC EFFECT AND SIZE REDUCTION OF DISC HERNIATION WITH PERCUTANEOUS TRANSFORAMINAL LUMBAR DISC RADIOFREQUENCY THERMOCOAGULATION[J].Chinese Journal of Pain Medicine,2011,17(7). |
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| Authors: | ZHANG Xue-Xue ZHANG Da-Ying ZHANG Yong WANG Zhi-Jian WEN Ze-Lin |
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| Institution: | ZHANG Xue-Xue,ZHANG Da-Ying,ZHANG Yong,WANG Zhi-Jian,WEN Ze-Lin(Department of Pain Medicine,The First Affiliated Hospital of Nanchang University,NanChang 330006) |
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| Abstract: | Objective:To study the relationship between the therapeutic effect of percutaneous transforaminal lumbar disc radiofrequency thermocoagulation and the size reduction of disc herniation.Methods: 329 patients with single lateral lumbar disc herniation were treated with percutaneous transforaminal lumbar disc radiofrequency thermocoagulation,whose effect were assessed by the current Japanese Orthopaedic Association(JOA) scoring system at 3,6,12 months post-operation.Thirty patients were recruited to undergo lu... |
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| Keywords: | Lumbar disc herniation Transforaminal approach Radiofrequency thermocoagulation Herniation size Therapeutic effect |
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