摘要
目的比较在椎间盘源性痛中采用疼痛复制和疼痛抑制2种方法的效果。方法回顾分析本院2009年8月～2011年5月收治的腰椎椎间盘源性痛的患者12例,其临床症状包括久坐后腰痛、不能耐受长时间行走,均不伴有下肢痛。均在C形臂X线机引导下椎间盘穿刺。6例采用复制疼痛的方法,6例采用抑制疼痛的判断方法。复制疼痛是向椎间盘内注射造影剂欧乃派克,根据是否复制出患者的腰痛临床症状来判断,同时邻近节段同样注射造影剂作为对照参照。抑制疼痛是向椎间盘内注射1%利多卡因溶液,然后让患者下床活动,原有腰痛症状消失作为椎间盘源性痛的标准。结果 6例复制疼痛的病例有4例可明确复制出疼痛,操作时间平均45 min。6例抑制疼痛的病例均可明确抑制患者的疼痛,术后立即下床活动,术前疼痛完全消失,操作时间平均25 min。结论采用疼痛抑制的方法更有助于确定椎间盘源性痛的诊断。
Objective To compare the effects of pain replication method with pain inhibition method in diagnosis of discogenic low back pain.Methods The data of 12 cases with lumbar discogenic pain were retrospectively analyzed.The clinical symptoms included sedentary lumbar pain and intolerance of long walk.Six cases received pain replication method and 6 received pain inhibition method.Pain replication method was that the provocative pain was replicated through injecting contrast agent into intervertebral disc,and adjacent segment as contrast with same injecting contrast agent.Pain inhibition method was that the original pain disappeared through injecting lidocaine solution into intervertebral disc.Results The pain was replicated in 4 cases in the pain replication group,with the average operating time being 45 min.All the 6 cases had their original pain disappeared in the pain inhibition group,with the average operating time being 25 min.Conclusion Pain inhibition method is more beneficial than pain replication method for diagnosis of dicogenic low back pain.
出处
《脊柱外科杂志》
2012年第5期261-263,共3页
Journal of Spinal Surgery
关键词
腰椎
椎间盘
腰痛
诊断
Lumbar vertebrae
Intervertebral disk
Low back pain
Diagnosis
