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经椎间孔硬膜外激素注射治疗退变性腰椎管狭窄症的短期疗效观察
引用本文:陈学武,徐宏光,刘平,王凌挺.经椎间孔硬膜外激素注射治疗退变性腰椎管狭窄症的短期疗效观察[J].皖南医学院学报,2011,30(1):22-24.
作者姓名:陈学武  徐宏光  刘平  王凌挺
作者单位:皖南医学院附属弋矶山医院,脊柱外科,安徽,芜湖,241001
摘    要:目的:分析经椎间孔硬膜外激素注射治疗退变性腰椎管狭窄的疗效。方法:2007年4月~2009年1月共收治经临床证实的腰椎管狭窄症患者20例,均采用侧后路经椎间孔硬膜外激素注射治疗。分别于术前、术后1周和1个月时采用VAS评分及Oswestry评分评价患者手术前后腰痛缓解程度及活动改善程度。结果:20例均成功穿刺,无并发症发生。术后1周疼痛完全缓解15例(15/20),显著缓解5例(5/20),VAS评分术前平均(8.4±0.94)分,术后1周VAS评分平均(1.9±0.79)分,与术前比较有显著性差异(P<0.001)。结论:经椎间孔硬膜外激素注射治疗可有效缓解退变性腰椎管狭窄症导致的腰腿痛,改善患者的活动功能。

关 键 词:腰椎管狭窄症  硬膜外  选择性神经根阻滞

Short-term effect of lumbar transformational epidural steroid injection in degenerative lumbar stenosis
CHEN Xue-wu,XU Hong-guang,LIU Ping,WANG Ling-ting.Short-term effect of lumbar transformational epidural steroid injection in degenerative lumbar stenosis[J].Acta Academiae Medicinae Wannan,2011,30(1):22-24.
Authors:CHEN Xue-wu  XU Hong-guang  LIU Ping  WANG Ling-ting
Institution:CHEN Xue-wu,XU Hong-guang,LIU Ping,WANG Ling-ting Department of Orthapadics,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China
Abstract:Objective:To evaluate the therapeutic effect of lumbar transforaminal epidural steroid injection in treatment of degenerative lumbar stenosis.Methods: Between Apr.2007 and Jan.2009,we treated 20 patients consistent with the criteria of lumbar spinal stenosis by transforaminal epidural steroid injection through lateral-posterior,and all subjects were observed and evaluated with visual analogue scales(VAS) and oswestry disability index(ODI) before the intervention,respective one week and one month after the t...
Keywords:lumbar spinal stenosis  epidural  selective nerve root block  
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