【摘要】 目的探讨可视化融合成像技术诊治腰关节突关节综合征的临床效果。方法临床纳入2017年6月至2020年5月于深圳市龙岗中心医院住院和门诊收治的80例腰关节突关节综合征患者作为研究对象,按随机数字表法分为两组,各40例。其中40例患者采用可视化融合成像技术引导下诊断及介入治疗者作为研究组,仅采用X线透视引导下诊断及介入治疗者作为对照组。观察两组患者治疗前后疼痛情况,分析两组患者诊疗效果及不良反应情况。结果研究组治疗后1周、3个月、6个月、12个月的VAS评分明显低于对照组,两组比较差异有统计学意义(P <0.05);在不同治疗时期疼痛缓解方面,对照组患者总有效率明显低于研究组,差异有统计学意义(P <0.05);在术区血肿形成、术区疼痛、消化道症状及下肢疼痛等不良反应方面,对照组不良事件发生率为25%,研究组为7.5%,两组比较差异有统计学意义(P <0.05)。结论可视化融合成像技术诊治腰关节突关节综合征的临床效果明显、持久及安全性高,值得临床应用推广。更多还原

【Abstract】 Objective To investigate the clinical effect of visual fusion imaging in the diagnosis and treatment of facet joint syndrome. Methods From June 2017 to May 2020, 80 patients with Lumbar facet joint syndrome in our hospital were included as the study subjects, divided into two groups by random number table method, with 40 cases each. Forty patients received visual fusion imaging guided diagnosis and interventional therapy were as the study group, and others received only X-ray fluoroscopy guided diagnosis and interventional therapy were as the control group. The pain before and after treatment was observed in the two groups, and the therapeutic effect and adverse reactions of the two groups were analyzed. Results The VAS score of the study group was significantly lower than that of the control group at 1 week,3 months, 6 months and 12 months after treatment(P<0.05). In terms of pain relief in different treatment periods, the total effective rate of patients in the control group was significantly lower than that of the study group, and the difference was statistically significant(P<0.05). In terms of adverse effects such as hematoma formation or pain in the operative area, gastrointestinal symptoms and lower limb pain, the incidence rate of adverse events was 25% in the control group and 7.5% in the study group, and the difference between the two groups was statistically significant(P<0.05). Conclusion Visual fusion imaging has obvious clinical effect, long lasting and high safety in the diagnosis and treatment of lumbar facet joint syndrome, which is worthy of clinical application and promotion.更多还原