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[1]陳亦鵬,王棟,許錦超,等.脊柱內(nèi)鏡下脊神經(jīng)背內(nèi)側(cè)支射頻消融術(shù)治療關(guān)節(jié)突關(guān)節(jié)源性腰痛的安全性評價[J].中醫(yī)正骨,2020,32(12):53-55.
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脊柱內(nèi)鏡下脊神經(jīng)背內(nèi)側(cè)支射頻消融術(shù)治療關(guān)節(jié)突關(guān)節(jié)源性腰痛的安全性評價()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期數(shù):
2020年12期
頁碼:
53-55
欄目:
臨床報道
出版日期:
2020-12-20

文章信息/Info

作者:
陳亦鵬1王棟2許錦超3程偉3潘浩1
(1.杭州市中醫(yī)院,浙江 杭州 310007; 2.杭州市丁橋醫(yī)院,浙江 杭州 310021; 3.浙江中醫(yī)藥大學(xué)附屬廣興醫(yī)院,浙江 杭州 310007)
關(guān)鍵詞:
腰痛 椎關(guān)節(jié)突關(guān)節(jié) 內(nèi)窺鏡檢查 脊神經(jīng)根切斷術(shù) 導(dǎo)管消融術(shù) 手術(shù)后并發(fā)癥 磁共振成像
摘要:
目的:探討脊柱內(nèi)鏡下脊神經(jīng)背內(nèi)側(cè)支射頻消融術(shù)治療關(guān)節(jié)突關(guān)節(jié)源性腰痛的安全性。方法:2015年9月至2019年2月,采用脊柱內(nèi)鏡下脊神經(jīng)背內(nèi)側(cè)支射頻消融術(shù)治療關(guān)節(jié)突關(guān)節(jié)源性腰痛患者17例。分別于術(shù)前和術(shù)后1個月,行腰椎MRI檢查,測量、計算手術(shù)節(jié)段多裂肌與脊旁肌橫截面積比、多裂肌內(nèi)部脂肪浸潤面積比,比較手術(shù)前后的測量結(jié)果進(jìn)行安全性評價。結(jié)果:17例患者,消融2支神經(jīng)4例、消融3支神經(jīng)9例、消融4支神經(jīng)4例。手術(shù)節(jié)段位于L2~3左側(cè)12例、右側(cè)12例,L3~4左側(cè)14例、右側(cè)13例,L4~5左側(cè)11例、右側(cè)9例,L5S1左側(cè)9例、右側(cè)8例。手術(shù)各節(jié)段多裂肌與脊旁肌橫截面積比、多裂肌內(nèi)部脂肪浸潤面積比手術(shù)前后的差異均無統(tǒng)計學(xué)意義[多裂肌與脊旁肌橫截面積比:L2~3術(shù)前(15.04±3.58)%、術(shù)后1個月(14.92±3.24)%,t=0.566,P=0.577; L3~4術(shù)前(24.72±4.41)%、術(shù)后1個月(25.15±4.49)%,t=-1.944,P=0.063; L4~5術(shù)前(35.11±4.62)%、術(shù)后1個月(34.79±4.66)%,t=1.055,P=0.305; L5S1術(shù)前(54.41±6.01)%、術(shù)后1個月(53.99±5.82)%,t=1.644,P=0.120。多裂肌內(nèi)部脂肪浸潤面積比:L2~3術(shù)前(18.51%±8.06)%、術(shù)后1個月(17.79±8.32)%,t=1.122,P=0.273; L3~4術(shù)前(18.67±8.73)%、術(shù)后1個月(18.37±8.97)%,t=0.471,P=0.641; L4~5術(shù)前(18.82±7.19)%、術(shù)后1個(18.36±7.92)%,t=0.759,P=0.457; L5S1術(shù)前(29.05±13.39)%、術(shù)后1個月(28.48±12.33)%,t=0.791,P=0.441]。結(jié)論:脊柱內(nèi)鏡下脊神經(jīng)背內(nèi)側(cè)支射頻消融術(shù)治療關(guān)節(jié)突關(guān)節(jié)源性腰痛,術(shù)后發(fā)生多裂肌萎縮、脂肪變性的概率較低,安全性好。

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備注/Memo

備注/Memo:
基金項目:浙江省科技計劃項目(2017C33208)
通訊作者:潘浩 E-mail:[email protected]
更新日期/Last Update: 2020-12-20