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CT引导下选择性神经根注射治疗腰椎间盘突出症
引用本文:汪政武,周立飞,林懿,高肖波,淦东林,刘振东,.CT引导下选择性神经根注射治疗腰椎间盘突出症[J].放射学实践,2009,24(3):320-323.
作者姓名:汪政武  周立飞  林懿  高肖波  淦东林  刘振东  
作者单位:1. 临海市中医院放射科,浙江,317000
2. 临海市中医院骨科,浙江,317000
摘    要:目的:对CT引导下选择性神经根注射治疗腰椎间盘突出症的技术、临床疗效和并发症进行评估。方法:在CT引导下选择性神经根注射皮质类固醇、局部麻醉剂、生理盐水等药物混合液,治疗53例腰椎间盘突出症患者,以视觉模拟疼痛评分对患者治疗前后的症状进行评价。结果:53例中33例(62.3%)治疗后疼痛明显改善,14例(26.4%)疼痛中度缓解,6例(11.3%)疼痛无缓解。疼痛改善持续的平均时间为3个月。结论:CT引导下选择性神经根注射是治疗腰椎间盘突出症引起的腰腿痛的一种安全、有效的方法。

关 键 词:腰椎  椎间盘移位  神经根注射  穿刺术

Treatment of Lumber Disc Hernia with CT-guided Selective Nerve Root Infiltration
WANG Zheng-wu,ZHOU Li-fei,LIN Yi,et al..Treatment of Lumber Disc Hernia with CT-guided Selective Nerve Root Infiltration[J].Radiologic Practice,2009,24(3):320-323.
Authors:WANG Zheng-wu  ZHOU Li-fei  LIN Yi  
Institution:WANG Zheng-wu,ZHOU Li-fei,LIN Yi,et al.Department of Radiology,Linhai City of Traditional Chinese Hospital,Zhejiang 317000,P.R.China
Abstract:Objective:To evaluate the technique,clinical efficacy,complications of treatment of lumber disc hernia with CT-guided selective nerve root infiltration.Methods:CT-guided selective injection for nerve root infiltration was performed in 53 patients with intervertebral disc hernia with a mixture of corticosteroid,local anesthetic and normal saline.Visual analogue scale for pain was used to evaluate the efficacy before and after treatment.Results:Of the 53 patients,33 patients(62.3%) showed good response,modera...
Keywords:Lumbar vertebrae  Intervertebral disc displacement  Nerve root infiltration  Punctures  
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