腰椎间孔神经阻滞配合椎间孔外口针刀松解治疗腰椎间盘突出症的临床观察

目的观察腰椎间孔神经阻滞配合椎间孔外口针刀松解治疗腰椎间盘突出症的临床效果。方法将确诊为腰椎间盘突出症的患者200例随机分为观察组和对照组,观察组行腰椎间孔神经阻滞并椎间孔外口针刀松解,对照组行单纯腰椎间孔神经阻滞治疗,观察治疗后1个月、3个月、6个月的疗效,两组并进行比较。结果1个月后随访观察组优良率（92.2%,95/103例）明显高于对照组（81.4%,79/97例）（P〈0.05）;3个月和6个月后随访观察组优良率（92.2%,94/102例;90.2%,92/102例）也明显高于对照组（78.4%,76/97例;76.3%,74/ 97例）（P〈0.01）。结论腰椎间孔神经阻滞配合椎间孔外口松解,较单纯腰椎间孔神经阻滞治疗腰椎间盘突出症,可明显提高疗效,其远期效果尤为明显。

Clinical efficacy of intervertebral foramen nerver blocks and lytic acupotomy in intervertebral outside foramen on lumbar intervertebral disk herniation

Objective To observe the clinical effects of the nerve block in intervertebral fora- men combined with lytic acupotomy in intervertebral outside foramen for the treatment of lumbar intervertebral disc herniation. Methods Two hundred patients with lumbar intervertebral disk herniation were randomly divided into observe group and controll group, In observe group, patients were treated with nerve block in intervertebral foramen and lytic acupotomy in intervertebral outside foramen. In the control group, patients were treated by nerve block in intervertebral foramen. The clinical effects were observed after 1 month, 3 months and 6 months . Results The excellent and good rates after 1 months in observe group （92.2%, 95/103 cases） were obviously much better than that in control groups （81.4%, 79/97 cases） （P〈0.05） . The effective rates after 3 months and 6 months in observe group （92.2%, 94/102 cases; 90.2%, 92/102 cases）were obviously better than that in control groups respectively （78. 4 %, 76/97 cases; 76.3%, 74/97 cases） （P〈0.01） . Conclusion Nerve block in intervertebral foramen and intervertebral outside foramen with lytic acupotomy for the treatment of lumbar intervertebral disk herniation is obviously effective and safe than the nerve block only.