| 水冷式双极射频纤维环成形术治疗盘源性腰痛 |
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| 引用本文： | 章沿锋,张德仁,姚尚龙,张小洺.水冷式双极射频纤维环成形术治疗盘源性腰痛[J].临床麻醉学杂志,2009,25(1). |
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| 作者姓名： | 章沿锋 张德仁 姚尚龙 张小洺 |
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| 作者单位： | 1. 华中科技大学同济医学院附属协和医院麻醉科,武汉市,430022
2. 深圳市第六人民医院疼痛科 |
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| 摘 要： | 目的 探讨水冷式双极射频纤维环成形术治疗盘源性腰痛的临床效果.方法 随机选取23例经椎间盘造影诊断为盘源性腰痛、经过正规保守治疗3个月无效的患者,采用水冷式双极射频纤维环成形术治疗.所有患者术后随访6个月.对患者术后第7天与6个月后的疗效、视觉模拟评分(VAS)、Oswestry功能评分(ODI)和阿片类药物使用量进行比较.结果 术后第7天的优良率为87%(20/23);VAS由术前(7.6±0.7)分降至(3.1±0.9)分(P<0.01);ODI评分由术前(71.4±16.2)%降至(31.2±15.2)%(P<0.01);美施康定和曲马多的使用量分别由术前(35.0±10.3)mg和(300.0±19.6)mg降至(5.0±1.1)mg和(50.0±14.7)mg(P<0.05).6个月后的优良率为78.2%(18/23);VAS和ODI评分分别为(3.3±1.0)分和(35.6±16.9)%,明显低于术前(P<0.01).本组未见严重并发症发生.结论 水冷式双极射频纤维环成形术操作简单、安全,是治疗盘源性腰痛的有效微创手术.
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| 关 键 词： | 水冷式双极射频 纤维环成形术 盘源性腰痛 |
Effect of water-cooled dipolar radiofrequency annuloplasty on discogenic low back pain |
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| ZHANG Yan-feng,ZHANG De-ren,YAO Shang-long,et al..Effect of water-cooled dipolar radiofrequency annuloplasty on discogenic low back pain[J].The Journal of Clinical Anesthesiology,2009,25(1). |
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| Authors: | ZHANG Yan-feng ZHANG De-ren YAO Shang-long |
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| Institution: | ZHANG Yan-feng,ZHANG De-ren,YAO Shang-long,et al.Department of Anesthesiology,Union Hospital,Tongji Medical Collegye,Huazhong University of Science , Technology,Wuhan 430022,China |
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| Abstract: | Objective To explore the clinical outcomes of water-cooled dipolar radiofrequency annuloplasty(WCDRA) in the treatment of dicogenic low back pain by.Methods Discogenic low back pain by discography was diagnosed in 23 patients and treated with WCDRA.The patients were followed up for 6 months.The whole curative effect,visual analog scale(VAS) and oswestry disability index(ODI) scores were evaluated on the 7th postoperative day and at the end of 6-mounth follow up.The dosage of opioids used was recorded as wel... |
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| Keywords: | Water-cooled dipolar radiofrequency Annuloplasty Discogenic low back pain |
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