[1]罗光平,刘洪,肖业生,等.激光低温理疗治疗椎间盘源性腰痛[J].中国微创外科杂志,2009,09(7):648-650.
　Luo Guangping,Liu Hong,Xiao Yesheng,et al.Percutaneous Laser Hypothermia in the Treatment of Lumbar Discogenic Pain[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):648-650.
点击复制

激光低温理疗治疗椎间盘源性腰痛()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
648-650
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Percutaneous Laser Hypothermia in the Treatment of Lumbar Discogenic Pain
作者:
罗光平; 刘洪; 肖业生; 王文军; 蒲丹; 杨长远; 朱钧; 向超
湖南省怀化市第一人民医院脊柱外科，怀化418000,
Author(s):
Luo Guangping;  Liu Hong;  Xiao Yesheng;  et al.
Department of Spine Surgery, First Renmin Hospital, Huaihua 418000, China
关键词:
激光; 理疗; 椎间盘源性腰痛
Keywords:
Laser; Physical therapy; Lumbar discogenic pain
分类号:
R681.5+3
文献标志码:
A
摘要:
目的探讨激光低温理疗治疗椎间盘源性腰痛的临床疗效。方法2006年6月～2008年3月，应用低功率激光低温理疗治疗椎间盘源性腰痛35例，采用低功率激光，按脉冲时间1 s，间隔时间1 s的标准，功率3.5 W，持续时间30 min的标准治疗,术前和术后对患者进行治疗效果评价。结果15例行1次手术，14例行2次手术，６例行3次手术。最终疗效为32例有效(其中7例优，24例良，1例可），2例无效，1例因效果不佳行开放手术治疗，有效率达91.4％(32/35)，优良率88.6％(31/35)。结论严格选择适应证，低功率激光低温理疗治疗椎间盘源性腰痛具有确切的疗效。
Abstract:
ObjectiveTo evaluate the efficacy of percutaneous laser hypothermia in the treatment of lumbar discogenic pain.MethodsFrom June 2006 to March 2008, 35 patients with lumbar discogenic pain were treated by lowfrequency laser hypothermia in our hospital with 1 second impulse time, 1 second interval time, 3.5 w power, and 30 minutes duration. The effectiveness of the therapy was evaluated afterwards.ResultsAmong the cases, 15 patients were treated by one operation, 20 patients received a second therapy, and 6 underwent the therapy for totally 3 time; the treatment was effective in 32 cases (excellent in 7, good in 24, and fair in 1). The therapy is ineffective in 2 cases. One case was converted to open surgery for unsatisfying outcomes of the laser hypothermia. The total effective rate was 91.4％(32/35),and fineness rate was 88.6％(31/35).ConclusionsPercutaneous laser hypothermia is an effective treatment for lumbar discogenic pain. The indications for the procedure should be selected strictly.

参考文献/References:

[1]罗光平，刘洪，王文军，等.经皮激光低温治疗椎间盘源性腰痛的实验研究.医学临床研究，2008,25(10):1831-1833.
[2]郭钧.椎间盘源性下腰痛.见：陶天遵，主编.新编实用骨科学. 北京：军事医学出版社，2008.1372-1382.
[3]Nakai O, Ookawa A, Yamaura L. Long term roentgenographic and functional change in patients who we retreated with wide fenestration for central lumbar stenosis. J Bone Joint Surg(Am),1991,73(8):1184-1191.
[4]赵辉，倪才方，唐天驷.腰椎间盘突出症微创治疗进展.中国微创外科杂志，2007,7(7):641-642.
[5]Saal JS, Saal JA. Management of chronic discogenic low back pain with a thermal intradiscal catheter: a preliminary report.Spine,2000,25（3）:382-388.
[6]Niemz M H，ed.Lasertissue interactions: fundamentals and applications.3rded.Berlin:Springer，2004.47-87.

备注/Memo

备注/Memo:
王文军（湖南省南华大学第一附属医院脊柱外科，衡阳421001）
更新日期/Last Update: 2013-09-17