CT引导下针刀神经根松解联合神经根阻滞治疗腰椎间盘突出症

目的观察CT引导下针刀神经根松解联合神经根阻滞治疗腰椎间盘突出症的临床效果。资料与方法将确诊为腰椎间盘突出症的86例患者随机分为治疗组(n=44)和对照组(n=42)。治疗组行腰椎CT引导下针刀神经根松解联合神经根阻滞治疗;对照组行单纯腰椎间孔神经阻滞治疗,观察治疗后7～10天、3个月、6个月的疗效,对两组疗效进行比较。结果两组病例综合疗效优良率比较,差异有统计学意义(P<0.05),观察治疗组优良率明显高于对照组。结论 CT引导下针刀松解触激神经根加周围阻滞治疗具有显效快、疗效好、操作简便、微创潜在风险低的优势,可操作性强,易于临床推广。

Acupotomy Nerve Root Release Combined with Nerve Block for Treatment of Lumbar Intervertebral Disc Herniation Guided by CT

Objective To observe the effects of acupotomy nerve root release and nerve block for lumbar intervertebral disc herniation guided by CT.Methods Eighty-six patients with lumbar disc herniation were randomly divided into test group(treated by acupotomy nerve root release combined with nerve block) and control group(nerve block treated merely).The effect of two groups were compared at 7-10 days,3 months,6 months after treatment.Results The test group had better effect than control group(P< 0.05).Conclusion Acupotomy nerve root release combined with nerve block,which work quickly,easy to operation,is an effective and low risk treatment for lumbar intervertebral disc herniation.