[1]杨建辉*,吕建国,聂会勇,等.射频电热成形术联合臭氧治疗盘源性腰痛[J].中国微创外科杂志,2017,17(07):644-649.
　Yang Jianhui,Lv Jianguo,Nie Huiyong,et al.Radiofrequency Electrothermal Arthroplasty and Ozone Injection for Discogenic Low Back Pain[J].Chinese Journal of Minimally Invasive Surgery,2017,17(07):644-649.
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射频电热成形术联合臭氧治疗盘源性腰痛()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
17
期数:
2017年07期
页码:
644-649
栏目:
实验研究
出版日期:
2017-07-20

文章信息/Info

Title:
Radiofrequency Electrothermal Arthroplasty and Ozone Injection for Discogenic Low Back Pain
作者:
杨建辉*; 吕建国; 聂会勇; 申晓东
西安交通大学第一附属医院疼痛科，西安710061
Author(s):
Yang Jianhui;  Lv Jianguo;  Nie Huiyong;  et al.
Rehabilitation Center, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
关键词:
射频电热成形术; 盘源性腰痛; 臭氧注射
Keywords:
Radiofrequency electrothermal arthroplasty; Discogenic low back pain; Ozone injection
文献标志码:
A
摘要:
目的探讨椎间盘纤维环射频电热成形术联合臭氧治疗慢性盘源性腰痛（discogenic low back pain，DLBP）的临床效果及安全性。方法2013年6月～2015年6月采用椎间盘纤维环射频电热成形术联合椎间盘内臭氧注射治疗60例慢性DLBP，采用汉化Oswestry功能障碍指数法（Chinese version Oswestry disability index,CODI）、视觉模拟评分（visual anologue scale,VAS）评价术前后患者功能状态、疼痛情况。结果无严重并发症发生。治疗后两节段患者VAS评分从术前1 d（7.4±1.2）分降到术后7 d（1.7±0.4）分（q＝57.647，P<0.05）、术后15 d（1.3±0.3）分（q＝61.692，P<0.05）、术后1个月（1.1±0.4）分（q＝63.715，P<0.05）、术后3个月（0.9±0.3）分（q＝65.738，P<0.05）、术后6个月（0.8±0.4）分（q＝66749，P<0.05）、术后1年（0.8±0.3）分（q＝66.749，P<0.05）, 能维持12个月以上；术后CODI优良率80%以上，CODI术前1 d与术后各时点均有统计学差异(P<0.05）。单节段患者VAS评分从术前1 d（7.6±1.1）分降到术后7 d（18±0.3）分（q＝60.628，P<0.05）、术后15 d（1.2±0.4）分（q＝66.900，P<0.05）、术后1个月（0.9±0.5）分（q＝70.036，P<0.05）、术后3个月（0.8±0.3）分（q＝71.081，P<0.05）、术后6个月（0.7±0.4）分（q＝77.127，P<0.05）、术后1年（0.8±0.3）分（q＝71.081，P<0.05）, 并能维持12个月以上；术后CODI优良率78%以上，CODI术前1 d与术后各时点均有统计学差异(P<005）。结论椎间盘纤维环射频电热凝疗法能使损伤椎间盘发生再塑形，修复损伤椎间盘，快速缓解患者疼痛，显著改善患者功能状态，并发症少，是治疗盘源性腰痛的一种安全有效的方法。
Abstract:
ObjectiveTo investigate the clinical effect and safety of disc annulus radiofrequency electrothermal arthroplasty and ozone injection in the treatment of chronic discogenic low back pain（DLBP）. MethodsA total of 60 cases of chronic DLBP from June 2013 to June 2015 were given intervertebral disc fiber loop radiofrequency electrothermal arthroplasty and ozone injection. The Chinese version of Oswestry disability index (CODI) and the VAS pain scores were used to evaluate functions and pain before and after operation.ResultsNo severe complications occurred. After treatment, the VAS scores in two-segment patients decreased from (7.4±1.2) points 1 d preoperatively to (1.7±0.4) points 7 d postoperatively (q=57.647, P<005), (1.3±0.3) points 15 d postoperatively (q=61.692, P<0.05), (1.1±0.4) points one month postoperatively (q=63.715, P<0.05), (0.9±0.3) points 3 months postoperatively (q=65.738, P<0.05), (0.8±0.4) points 6 months postoperatively (q=66749, P<0.05), and (0.8±0.3) points one year postoperatively (q＝66.749, P<0.05). The Oswestry function index was in the excellent-or-good range in more than 80% patients. There were significant differences in the CODI between preoperation and postoperation (P<0.05). The VAS scores in single-segment patients decreased from (7.6±1.1) points 1 d preoperatively to (1.8±0.3) points 7 d postoperatively (q=60.628, P<0.05), (1.2±0.4) points 15 d postoperatively (q=66.900, P<0.05), (0.9±0.5) points one month postoperatively (q=70.036, P<0.05), (0.8±0.3) points 3 months postoperatively (q=71.081, P<0.05), (0.7±0.4) points 6 months postoperatively (q=77.127, P<0.05), and (0.8±0.3) points one year postoperatively (q=71.081, P<0.05). The Oswestry function index was in the excellent-or-good range in more than 78% patients. There were significant differences in the CODI between preoperation and postoperation (P<0.05).ConclusionsDisc annular radiofrequency electrothermal arthroplasty can reshape the damaged disc, quickly relieve patients’ pain, and significantly improve the function of patients condition. It is a safe and effective method with fewer complications for DLBP.

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备注/Memo

备注/Memo:
*通讯作者，E-mail：hiuyang@sina.cn
更新日期/Last Update: 2017-09-21