低温等离子射频盘内髓核消融术联合胶原酶盘外溶解术治疗颈椎间盘突出症的效果

目的 评价低温等离子射频盘内髓核消融术联合胶原酶盘外溶解术治疗颈椎间盘突出症的效果.方法 具有头痛、头晕、颈肩臂痛等症状的颈椎病患者56例,年龄33～61岁,采用随机数字表法,将患者随机分为2组(n=28):胶原酶盘外溶解术组(C组)和低温等离子射频盘内髓核消融术联合胶原酶盘外溶解术组(R组).两组手术均在CT引导下进行,术后6个月采用改良划线法评价疗效.结果 C组患者头痛、头晕和颈肩臂痛缓解率分别为86％、79％和93％,R组分别为96％、93％和100％,差异均有统计学意义(P＜0.05).结论 低温等离子射频盘内髓核消融术联合胶原酶盘外溶解术治疗颈椎间盘突出症的效果优于单独应用胶原酶盘外溶解术.

Efficacy of plasma radiofrequency ablation at low temperature in disc combined with collagenase injection out of disc in patients with cervical intervertebral disc herniation

Objective To evaluate the efficacy of plasma radiofrequency ablation at low temperature in disc combined with collagenase injection out of disc in patients with cervical intervertebral disc herniation.Methods Fifty-six patients suffering from cervical intervertebral disc herniation with headache,dizziness,and pain in the neck and in the shoulder were randomly divided into 2 groups ( n =28 each):collagenase injection out of disc group (group C) and plasma radiofrequency ablation at low temperature in disc combined with collagenase injection out of disc group (group R).All operations were carried out under CT guidance.Results At the sixth month of follow up after treatment,the remission rates of headache,dizziness and pain in the neck and in the shoulder were 86％,79％,and 93％ in group C and 96％,93％,and 100％ in group R,.respectively,with significant difference between the two groups ( P ＜ 0.05 ) Conclusion The efficacy of plasma radiofrequency ablation at low temperature in disc combined with collagenase injection out of disc is much better than collagenase single in patients with cervical intervertebral disc herniation.