椎间孔镜下精准定位射频消融治疗下腰痛的疗效观察

椎间孔镜下精准定位射频消融治疗下腰痛的疗效观察
刘元彬;张智;郑佳状;陈宇;汪凡栋;廖伟
【期刊名称】《实用骨科杂志》
【年(卷),期】2015(21)3
【摘要】Objective To evaluate efficacy of radiofrequency ablation through transforaminal endoscopy by accurate posi-tioning on the pain of posterior rami on lumbar spinal nerves. Methods Between February 2012
to June 2013 a total of 21 ca-ses were retrospectively reviewed. They have got treatment of radiofrequency ablation through transforaminal endoscopy by ac-curate positioning on the pain of posterior rami on lumbar spinal nerves. There were 10 males and 11 females with a average age of 40. 2(28~60)years. The results were evaluated by Visual Analogue Scale(VAS)and Improved MacNab. Results All op-eration were successfully completed. The operative time was 55(35~75)mins and blood loss volume was 8. 5(5~10)mL. The preoperative and postoperative 3 days、3 months、6 months、1 year visual analogue scale( VAS )scores were( 7 . 6 ± 1 . 1 )、(2. 5 ± 0. 5)、(2. 6 ± 0. 7)、(3. 0 ± 0. 2)、(2. 7 ± 0. 6),After treatment the VAS was significantly better than Preoperative( P<0. 05),and last follow up the Improved MacNab was greater than 90%. Conclusion The effect of radiofrequency ablation through transforaminal endoscopy by accurate positioning on the pain of posterior rami on lumbar spinal nerves was sure,and positioning precision,less complications.%目的：探讨椎间孔镜下精
准定位射频消融治疗脊神经后内侧支源性下腰痛的临床疗效。

方法回顾性分析2012年2月至2013年6月我院行椎间孔镜下射频消融治疗脊神经后内侧支源性下腰痛患者21例的临床资料，其中男10例，女11例；年龄28~60岁，病程
8~24个月，平均15.7个月。

手术效果通过疼痛视觉模拟评分（ visual ana-logue scale，VAS）和改良MacNab评定。

结果所有手术顺利完成，手术时间35~75 min，平均55mim；术中出血量5~10 mL，平均8.5 mL；术后切口均I 期愈合，术中术后无脑脊液漏、无下肢感觉、反射和肌力异常。

术前与术后3 d、3个月、6个月、1年时的VAS评分分别为（7.6±1.1）分、（2.5 ± 0.5）分、（2.6±0.7）分、（3.0±0.2）分、（2.7 ± 0.6）分，均P＜0.01，手术前后差异有统计学意义。

末次随访MacNab评分手术优良率>90％。

结论通过椎间孔镜下精准定位射频消融术治疗脊神经后内侧支源性下腰痛效果肯定，定位精确，并发症少。

【总页数】3页(P198-200)
【作者】刘元彬;张智;郑佳状;陈宇;汪凡栋;廖伟
【作者单位】遂宁市中心医院脊柱外科，四川遂宁 629000;遂宁市中心医院脊柱外科，四川遂宁 629000;遂宁市中心医院脊柱外科，四川遂宁 629000;遂宁市中心医院脊柱外科，四川遂宁 629000;遂宁市中心医院脊柱外科，四川遂宁629000;遂宁市中心医院脊柱外科，四川遂宁 629000
【正文语种】中文
【中图分类】R681.5+5
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