【摘要】 目的:研究应用经皮椎间孔镜联合射频消融治疗腰椎间盘突出症的临床疗效与意义。方法:选取腰椎间盘突出患者80例。随机分为对照组与观察组各40例。分别对两组患者进行常规椎间孔镜治疗及联合射频消融治疗。对两组患者治疗后疼痛进行视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)评分,并采用改良后Mac Nab标准对治疗效果进行判断。结果:观察组患者显效32例(80.0%),有效7例(17.5%),无效1例(2.5%),治疗总有效率97.5%显著高于对照组患者27例(67.5%),3例(7.5%),10例(25.0%),75.0%,差异有统计学意义(P<0.05)。且术后不同时段ODI评分显著优于对照组患者,差异有统计学意义(P<0.05)。讨论:临床应用经皮椎间孔镜联合射频消融治疗腰椎间盘突出不仅创伤小,而且能效达到良好的手术治疗效果,值得临床推广应用。更多还原

【Abstract】 Objective To study the clinical effect and significance of percutaneous transforaminal endoscopy and radiofrequency ablation in the treatment of protrusion of lumbar intervertebral disc. Method 80 patients with protrusion of lumbar intervertebral disc were selected and randomly divided into control group and observation group,40 cases each group. Two groups respectively adopted the coventional transforaminal endoscopy and combined therapy of radiofrequency ablation. The treatment efficiency based on the points of VAS,ODI and improved Mac Nab standards was estimated. Results The observation group had 32 excellent cases( 80. 0%),7 valid cases( 17. 5%) and 1 invalid case( 2. 5%); the control group had 27 excellent cases( 67. 5%),3 valid cases( 7. 5%) and 10 invalid cases( 25. 0%); the total effective rate of observation group( 97. 5%) was signficantly higher than control group( 75. 0%),the difference was statistically significant( P < 0. 05); at different time periods,the points of ODI for observation group were better than control group,the difference was statistically significant( P < 0. 05). Conclusion The percutaneous transforaminal endoscopy and radiofrequency ablation has an obvious effect in the protrusion of lumbar intervertebral disc,can reduce the uncertainty of conservative treatment and incidence rate of complications.更多还原