射频电热成形术治疗盘源性腰痛的临床疗效

Radiofrequency electrothermal arthroplasty for treatment of chronic low back pain

摘要:

目的  盘源性腰痛（DLBP）是慢性腰痛最常见的原因之一，通过观察椎间盘纤维环射频电热成形术治疗慢性DLBP的临床效果及其并发症，以期寻求新的DLBP治疗方法。方法  选择符合慢性DLBP诊断标准的患者60例，予以椎间盘纤维环射频电热成形术治疗，术后跟踪随访，观察比较手术前后汉化Oswestry功能指数、VAS疼痛评分及手术并发症的变化。结果  经椎间盘纤维环电热成形术治疗后，患者视觉模拟评分法（VAS）评分明显降低，疼痛减轻；功能状态明显改善，生活质量提高，Oswestry功能指数评定优良率>75%，无严重并发症发生。结论  椎间盘纤维环射频电热成形术能使损伤椎间盘发生再塑形，修复损伤椎间盘，快速缓解患者疼痛，显著改善患者功能状态，并发症少，是治疗DLBP的一种安全有效的方法。

Abstract:

Objective To observe the disc annulus radiofrequency electrothermal arthroplasty for treatment of chronic discogeenic lumbago and its complications, so as to seek a new method for the treatment of disc source lumbago. Methods Sixty patients who met the diagnostic criteria of chronic discogeenic lumbago were chosen. Intervertebral disc fiber loop radiofrequency electrothermal arthroplasty was performed. The patients were followed up after operation. Oswestry function index, the VAS pain score and the change of surgical complications were compared before and after operation. Results After treatment with disc annular radiofrequency electrothermal arthroplasty, patients' VAS score significantly lowered and pain was alleviated, the functional status was markedly improved, the quality of life was improved, the Oswestry function index rate was above 75%, and no serious complications occurred. Conclusions Disc annular radiofrequency electrothermal arthroplasty can help the remodeling of the damage disc, quickly relieve patients' pain, significantly improve the function of patients condition with few complications. It is a safe and effective treatment for discogeenic lumbago.