【摘要】 目的探讨传统法单纯经骶裂孔穿刺注药和改良法经骶裂孔穿刺置管注药治疗腰椎间盘突出症的临床疗效。方法将95例腰椎间突出症患者随机分为传统组46例和改良组49例。传统组骶裂孔穿刺成功后直接注药,改良组骶裂孔穿刺后置入硬膜外导管约10 cm再注药,两组药液配方均为2％利多卡因5 ml+曲安奈德40 mg+VitB1 100 mg+VitB12 2500μg+生理盐水共25 ml;每周1次,每3次为1个疗程。结果两组治愈率分别为39．13％(18例)与59．18％(29例),差异比较有统计学意义(P<0．05),两组优良病例的注药次数分别为3．19±0．43与2．54±0．36,差异比较有统计学意义(P<0．01)。结论经骶裂孔穿刺置管注药治疗腰椎间盘突出症的效果优于单纯骶裂孔注药,是治疗腰椎间盘突出症的有效方法之一。更多还原

【Abstract】 Objective To study the clinical effects of two caudal block methods, the traditional method of single injecting medicine and the improved method of placing a catheter to inject medicine, for treating lumbar intervertebral disc herniation(LIDH). Methods Ninety five cases with LIDH were randomly divided into single injecting group (46 cases) and continual injecting group (49 cases). Twenty five ml mixture containing 2% lidocaine 5 ml, triamcinolone acetonide 40 mg,VitB1 100 mg,VitB12 500μg,and normal saline was injected in two groups,once a week and three times for a course. Results The cure rate of the two groups was 39.13% (18 cases) and 59.18% (29 cases) respectively,which has a statistical difference (P<0.05). The frequencies of injecting medicine of two groups were 3. 19±0. 43 and 2. 54±0. 36 respectively(P<0.01). Conclusion The clinical effect of continual injecting medicine into sacral canal through a catheter is better than that by single injecting medicine for LIDH.更多还原