摘要
目的研究经皮腰椎间盘摘除术(PLD)联合椎间盘内电热疗法(IDET)治疗脱出型腰椎间盘突出症的疗效。方法回顾性分析87例患者,其中单纯PLD组39例,联合IDET组48例,术后观察、分析两组疗效及并发症。结果术后随访1～3年,平均25个月,两组术前、术后视觉模拟评分(VAS)均有改善,联合组较单纯组明显(P<0.01)。治疗有效率(按Macnab标准):PLD+IDET组为87.5%,PLD组为76.9%,两组无明显差别(P>0.01)。结论PLD联合IDET与单纯PLD治疗脱出型腰椎间盘突出症均有较好疗效,联合组术后腰腿痛缓解较单纯组明显,两组术后长期功能恢复差异不显著。IDET有助于短期内减轻术后腰腿痛。
Objective To investigate the clinical effectiveness of percutaneous lumbar diskectomy （PLD） combined with intradiscal electrothermal therapy （IDET） for the treatment of lumbar disc herniation. Methods The clinical data of 87 patients with lumbar disc herniation were retrospectively analyzed. Of 87 cases, single PLD was performed in 39 and PLD followed by IDET in 48. The therapeutic results were measured and analyzed, and the complications were recorded. Results All patients were followed up for 12-36 months. Relief in pain after the procedure was seen in both groups, but the patients in PLD＋IDET group showed more improvement than the patients in PLD group. The clinical effective rate for PLD＋IDET group and PLD group was 87.50% and 76.92% respectively, with no significant difference between two groups （P 〉 0.01 ）. No serious complications occurred. Conclusion Both PLD＋IDET and PLD are very effective in treating lumbar disc herniation. IDET is very helpful in relieving low back pain, although it can hardly improve patient＇s daily activities.
出处
《介入放射学杂志》
CSCD
北大核心
2009年第3期205-208,共4页
Journal of Interventional Radiology
关键词
经皮腰椎间盘摘除术
椎间盘内电热疗法
椎间盘突出症
percutaneous lumbar diskectomy
intradiscal electrothermal therapy
lumbar disc herniation
