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[1]郝明,張立新,王立忠,等.CT引導下選擇性經(jīng)皮射頻消融術治療腰椎關節(jié)突關節(jié)源性腰痛[J].中醫(yī)正骨,2019,31(05):66-68.
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CT引導下選擇性經(jīng)皮射頻消融術治療腰椎關節(jié)突關節(jié)源性腰痛()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年05期
頁碼:
66-68
欄目:
臨床報道
出版日期:
2019-05-20

文章信息/Info

作者:
郝明張立新王立忠石雷崔佳智
(北京中醫(yī)醫(yī)院順義醫(yī)院,北京 101300)
關鍵詞:
腰痛 椎關節(jié)突關節(jié) 導管消融術
摘要:
目的:探討CT引導下選擇性經(jīng)皮射頻消融術治療腰椎關節(jié)突關節(jié)源性腰痛的臨床療效和安全性。方法:2016年10月至2017年10月,采用CT引導下選擇性經(jīng)皮射頻消融術治療腰椎關節(jié)突關節(jié)源性腰痛患者30例,男16例、女14例。年齡61~82歲,中位數(shù)71歲。腰椎出現(xiàn)雙側癥狀8例,單側癥狀22例。責任節(jié)段位于L3~S15例、L4~S118例、L4~L54例、L5~S13例。觀察腰部疼痛緩解、腰椎功能恢復及并發(fā)癥發(fā)生情況。結果:30例患者均順利完成手術。腰部疼痛視覺模擬量表評分,術前為(7.26±1.34)分,術后1 d、3個月、6個月和12個月分別為(0.68±0.36)分、(0.74±0.52)分、(0.79±0.45)分、(0.62±0.58)分。采用Nakai腰痛手術療效評價系統(tǒng)評價療效,術后12個月優(yōu)20例、良9例、可1例。均無感染、神經(jīng)損傷等并發(fā)癥發(fā)生。結論:采用CT引導下選擇性經(jīng)皮射頻消融術治療腰椎關節(jié)突關節(jié)源性腰痛,能夠緩解腰部疼痛,促進腰椎功能的恢復,并發(fā)癥少,值得臨床推廣應用。

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更新日期/Last Update: 2019-05-20