CT引导下神经根周围硬膜外腔精确注射治疗腰椎间盘突出症

目的 探讨CT引导下神经根周围硬膜外腔精确注射治疗腰椎间盘突出症的临床疗效.方法 CT引导下神经根周围硬膜外腔精确注射治疗108例腰椎间盘突出症患者,比较术前及术后1、3、6个月随访时的视觉模拟评分(VAS),分析疗效.结果 108例患者中83例(76.9%)术后1、3、6个月VAS改善≥50%,显著有效;19例(17.6%)术后1、3、6个月VAS改善＜50%,中度有效;6例(5.6%)术后1、3、6个月VAS改善不明显,无效.结论 CT引导下神经根周围硬膜外腔精确注射治疗腰椎间盘突出症安全、准确、见效快、微创,值得临床推广.

CT-guided therapy of lumbar intervertebral disc herniation by precise injection around nerve root and in epidural cavity

Objective To evaluate the clinical effect of lumbar intervertebral disc herniation (LIDH) by CT-guided precise injection around nerve root and in epidural cavity. Methods One hundred and eight patients of LIDH were treated by CT-guided precise injection around nerve root and in epidural cavity, and followed-up after 1, 3 and 6 months. Visual analogue score (VAS) for pain was used to evaluate the efficacy before and after treatment. Results In 108 cases, there were 83 patients (76.9%) with good result whose improvement of VAS was greater than or equal 50% after treatment 1, 3 and 6 months. There were 19 patients (17.6%) with fair result whose improvement of VAS was less than 50% after treatment 1, 3 and 6 months. There were 6 patients (5.6%) with invalid result whose improvement of VAS was unobvious after treatment 1, 3 and 6 months. Conclusion CT-guided therapy of LIDH by precise injection around nerve root and in epidural cavity is safe, accurate, effective, minimally aggressive technique and worth being practiced clinically.