| 超声引导下腰椎小关节阻滞缓解经皮椎体后凸成形术术后残余疼痛 |
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| 引用本文： | 向醒,杨晶,张平,张腾飞,成涓,郑元义,晏铮剑. 超声引导下腰椎小关节阻滞缓解经皮椎体后凸成形术术后残余疼痛[J]. 中国介入影像与治疗学, 2017, 14(6): 360-364 |
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| 作者姓名： | 向醒 杨晶 张平 张腾飞 成涓 郑元义 晏铮剑 |
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| 作者单位： | 重庆医科大学超声影像学研究所, 重庆 400010;重庆医科大学附属第二医院超声科, 重庆 400010,重庆医科大学超声影像学研究所, 重庆 400010;重庆医科大学附属第二医院超声科, 重庆 400010,重庆医科大学附属第二医院骨科, 重庆 400010,重庆医科大学附属第二医院骨科, 重庆 400010,重庆医科大学超声影像学研究所, 重庆 400010;重庆医科大学附属第二医院超声科, 重庆 400010,重庆医科大学超声影像学研究所, 重庆 400010;重庆医科大学附属第二医院超声科, 重庆 400010;上海交通大学附属第六人民医院超声科, 上海 200233,骨科, 重庆 400010 |
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| 基金项目： | 国家杰出青年科学基金（81425014）、国家自然科学基金（81270021、81271598）、教育部科学技术研究重点项目（[2012]76）、教育部新世纪优秀人才支持计划（NCET-13-1067）。 |
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| 摘 要： | 目的观察超声引导下腰椎小关节阻滞对缓解经皮椎体后凸成形术(PKP)术后残余疼痛的可行性及有效性。方法 PKP术后残余腰部疼痛患者26例,随机分为试验组(n=16)和对照组(n=10)。试验组根据患者不同压痛点选择相应小关节在超声引导下注射镇痛复合液2.0ml;对照组注射等量生理盐水。于手术前、手术后10min、1天及2周对2组患者进行疼痛视觉模拟量表(VAS)疼痛评分及Oswestry功能障碍指数(ODI)评分,观察患者术后10min、第1天及术后2周疼痛缓解率。结果试验组与对照组术前VAS、ODI评分差异无统计学意义(P均0.05)。试验组术后10min、1天及2周VAS、ODI评分均低于术前(P均0.05)。对照组各时点VAS及ODI评分与术前差异无统计学意义(P均0.05)。试验组术后10min、1天及2周疼痛缓解率高于对照组,差异均有统计学意义(P均0.05)。2组患者均未见明显注射相关并发症。结论腰椎小关节注射可有效缓解患者PKP术后残余疼痛,在PKP术后残余腰痛的诊断及治疗中有良好的应用前景。
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| 关 键 词： | 超声检查 术后疼痛 小关节阻滞 |
| 收稿时间： | 2017-01-15 |
| 修稿时间： | 2017-04-14 |
Ultrasound-guided facet joint block in relief residual pain after percutaneous kyphoplasty |
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| XIANG Xing,YANG Jing,ZHANG Ping,ZHANG Tengfei,CHENG Juan,ZHENG Yuanyi and YAN Zhengjian. Ultrasound-guided facet joint block in relief residual pain after percutaneous kyphoplasty[J]. Chinese Journal of Interventional Imaging and Therapy, 2017, 14(6): 360-364 |
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| Authors: | XIANG Xing YANG Jing ZHANG Ping ZHANG Tengfei CHENG Juan ZHENG Yuanyi YAN Zhengjian |
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| Affiliation: | Institute of Ultrasound Imaging, Chongqing Medical University, Chongqing 400010, China;Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China,Institute of Ultrasound Imaging, Chongqing Medical University, Chongqing 400010, China;Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China,Department of Orthopaedics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China,Department of Orthopaedics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China,Institute of Ultrasound Imaging, Chongqing Medical University, Chongqing 400010, China;Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China,Institute of Ultrasound Imaging, Chongqing Medical University, Chongqing 400010, China;Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China;Department of Ultrasound, the Sixth People''s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China and Department of Orthopaedics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China |
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| Abstract: | Objective To observe the feasibility and effectiveness of ultrasound-guided facet joint block in relief residual pain after percutaneous kyphoplasty (PKP). Methods A total of 26 patients who suffered from pain after PKP were randomly divided into experimental group (n=16) and control group (n=10). According to different tenderness points, experimental group received ultrasound-guided facet joint space injection of 2 ml analgesic combination, and control group was injected with the same amount of saline. The vasual analogue scale (VAS) scores and Oswestry disability index (ODI) scores were observed before injection, and 10 min, 1 day and 2 weeks after injection. The pain relief rate of patients were observed at the same time points. Results There were no statistical significant difference of preoperative VAS, ODI scores between experimental group and control group (both P>0.05). VAS and ODI scores in 10 min, 1 day and 2 weeks after operation in experimental group were lower than those of preoperation (all P<0.05). Compared with preoperation, VAS and ODI scores at each time point after operation had no statistical significance in control group (all P>0.05). Pain relief rates in 10 min, 1 days and 2 weeks after operation in experimental group were higher than those of control group (all P<0.05). No serious complications occurred after operation. Conclusion Ultrasound-guided facet joint block has obvious effect for residual pain after PKP and has a good application prospect in the diagnosis and treatment of low back residual pain. |
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| Keywords: | Ultrasonography Postoperative pain Facet joint block |
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