摘要
目的观察和评价应用密盖息联合骶管注射治疗老年增生狭窄型腰椎间盘突出症的疗效。方法选择自2014-01—2014-12诊治的240例老年增生狭窄型腰椎间盘突出症,采用密盖息联合骶管注射治疗120例(密盖息组),单纯采用骶管注射治疗120例(对照组)。比较2组疗效、VAS评分、行走距离。结果 2组均经4周治疗期并随访8周。密盖息组临床痊愈40例,显效42例,有效29例,无效9例,有效率92.5%;对照组临床痊愈18例,显效38例,有效35例,无效29例,有效率75.8%;密盖息组治疗有效率明显高于对照组,差异有统计学意义(χ2=46.864,P<0.001)。末次随访时密盖息组行走距离明显长于对照组,VAS评分明显低于对照组,差异有统计学意义(P<0.001)。结论密盖息联合骶管注射治疗老年增生狭窄型腰椎间盘突出症疗效满意,且操作简单、安全可靠。
Objective To observe and evaluate the curative effect of Miacalcic combined with sacral canal injection in the treatment of senile hyperplasia stenosis of lumbar disc herniation. Methods All 240 cases of senile hyperplasia stenosis of lumbar disc herniation from January 2014 to December 2014 were divided into Miacalcic group and control group, 120 patients in each group. The patients in Miacalcic group were treated with Miacalcic injection combined with sacral canal injection while the patients in control group were treated with sacral canal injection. The efficacy, VAS score, and walking distance were compared between the two groups. Results The two groups were all treated for 4 weeks and followed up for 8 weeks. In Miacalcic group, 40 cases were clinically cured, markedly effective in 42 cases, effective in 29 cases, and ineffective in 9 cases, the effective rate was 92.5%. In control group, 18 cases were clinical cured, markedly effective in 38 cases, effective in 35 cases, and ineffective in 29 cases, the effective rate was 75.8%. The effective rate of Miacalcic group was significantly higher than that of the control group @2 =46.864, P 〈0.001）. The walking distance of Miacalcic group was significantly longer than that of the control group, and the VAS score was significantly lower than that of the control group at the time of the last follow-up （P 〈0.001）. Conclusion Miacalcic combined with sacral canal injection in the treatment of senile hyperplasia stenosis of lumbar protrusion of the intervertebral disc is satisfactory, safe and reliable.
出处
《中国骨与关节损伤杂志》
2016年第3期244-246,共3页
Chinese Journal of Bone and Joint Injury
基金
国家自然科学基金(81473492
81403257)
关键词
老年增生狭窄型腰椎间盘突出症
骶管注射
密盖息
腰腿痛
Senile hyperplasia stenosis of lumbar disc herniation
Sacral canal injection
Miacalcic
Lumbar and leg pain
