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射频热凝及冷冻治疗腰脊神经后支综合征

Radiofrequency coagulation therapy and cryotherapy for syndrome of lumbar ramus posterior nervorum spinalium

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【作者】 郑虎山张敏朱宏骞肖礼祖沙彤蒋劲张德仁

【Author】 Hu Shan Zheng,Min Zhang,Hong Qian Zhu,Li Zu Xiao,Tong Sha,Jin Jiang,De Ren Zhang <P>Hu Shan Zheng,Min Zhang,Hong Qian Zhu,Li Zu Xiao,Tong Sha,Jin Jiang,De Ren Zhang,Pain Clinical Center, Guangdong Medical Association, Nanshan Hospital, Shenzhen 518052, Guangdong Province,China

【机构】 广东医学会疼痛学会深圳市南山人民医院疼痛诊疗中心广东医学会疼痛学会深圳市南山人民医院疼痛诊疗中心 广东省深圳市518052广东省深圳市518052广东省深圳市518052

【摘要】 目的观察射频热凝、冷冻及神经阻滞方法的临床疗效及并发症,探讨更安全有效的治疗措施。方法腰脊神经后支综合征患者202例,按随机数字表分为3组,分别给予射频热凝、冷冻和常规神经阻滞治疗。结果(1)视觉模拟评分(VAS)评估疼痛程度:治疗1周后射频热凝、冷冻组VAS评分较治疗前明显降低,分别为5.1±1.2,4.0±1.1,改善程度均优于神经阻滞组(t1=3.79,P<0.001;t2=3.42,P<0.001);二组间VAS评分改善程度无显著性差异。(2)副反应:射频热凝组副反应发生率明显低于冷冻组和神经阻滞组。结论射频热凝及冷冻治疗腰脊神经后支综合征,疗效确切,操作简单,并发症少。

【Abstract】 Aim To observe the clinical efficacy and side effect of radiofrequency coagulation therapy(RF) and cryotherapy for syndrome of lumbar ramus posterior nervorum spinalium and explore the more safe and efficient therapy.Methods 202 patients with the syndrome of lumbar ramus posterior nervorum spinalium,112 males and 90 females,aged 19- 61 years old with an average age of (34± 10) years and with a course of 3 d- 28 months,were divided randomly into three groups: received RF(group A)(n=72),cryotherapy(group B)(n=70) and nerve block(group C)(n=60).Results (1) In group A and B,the scores of the Visual Analog Scale (VAS) were 5.1± 1.2 and 4.0± 1.1 at 1 week after treatment respectively,significantly lower than those in the two groups before treatment.The efficacy of group A and B was superior to that of group C respectively(t1=3.79,P< 0.001;t2=3.42,P< 0.001).(2)The incidence of side effects in group A was much lower than that in group B and C respectively(χ 2=4.86,P< 0.05;χ 2=7.25,P< 0.01).Conclusion RF and cryotherapy treat syndrome of lumbar ramus posterior nervorum spinalium effectively. And RF is the better,which procedures simply without complication. <P>

  • 【文献出处】 中国临床康复 ,Modern Rehabilitation , 编辑部邮箱 ,2003年17期
  • 【分类号】R745.4
  • 【被引频次】11
  • 【下载频次】92
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