针刀结合神经刺激器用于神经卡压类疾病的临床研究

目的探讨针刀结合神经刺激器用于神经卡压类疾病的临床效果。方法对160例确诊为腰脊神经后支卡压综合征患者，根据影像学及解剖学定位脊神经后支的大致位置后做好标记，随机分为两组：A组用神经刺激器测定后支的确切位置进针刀，然后对目标神经进行松解；B组在标记处直接进针刀进行松解。记录患者术前（T0）、术后3天（T．1、术后1周（T2）及术后3个月（T3）的VAS评分，并记录患者总疗效情况。结果VAS评分两组在T1～T3时均低于T0（P〈0．05），T1～T3时YAS评分A组均低于B组（P〈0．05）。结论用神经刺激器定位腰脊神经位置后进行针刀松解目标神经，具有定位准确、安全可靠、松解彻底、临床疗效好的特点。

Acupotomy Combined with Nerve Stimulator for Clinical Study of Lumbar Posterior Branch of Spinal Nerve Compression Syndrome

Objective To investigate the effect of acupotomy combined with nerve stimulator which was used to loosen the lumbar posterior branch of spinal nerve compression syndrome. Methods 160 Patients of lumbar posterior branch of spinal nerve entrapment syndrome were marked according to the general position of imaging and anatomic location of the posterior branch of spinal nerve, then they were randomly divided into two groups： group A with nerve stimulator after determination of the exact location of acupotomy on backward branch target nerve to release; group B at mark directly into the knife to release. VAS scores were recorded before operation （T0 ）, 3 days after the operation （T1）, one week after operation （T2 ） and 3 months postoperatively （ T3 ）, and recorded in the total effect. Results Method of acupotomy com- bined with nerve stimulator which was used to loosen the lumbar posterior branch of spinal nerve compression syndrome had advantages of accurate positioning, thoroughly release characteristics, and good treatment effect. Conclusions