超声联合C臂机选择性神经根注射改善腰突致神经痛的效果观察
Curative effect of ultrasound combined with C-arm machine selective nerve root injection on sciatica induced by lumbar disc herniation
李琳 1王浩杰 1诸熵熵2
作者信息
- 1. 余姚市人民医院 麻醉/疼痛科,浙江 余姚 315499
- 2. 余姚市第四人民医院 麻醉科,浙江 余姚 315499
- 折叠
摘要
目的 观察超声联合C臂机选择性神经根注射治疗腰椎间盘突出致坐骨神经痛的临床效果.方法 180 例确诊腰突致坐骨神经痛的患者分为观察组和对照组各 90 例,分别接受C臂机选择性神经根注射治疗和联合超声治疗.分别于治疗后 1 周、2 周、1 个月,统计两组患者的治疗优良率;采用视觉模拟评分法(VAS)评估患者疼痛,应用Oswestry功能障碍指数(ODI)评价下腰痛功能障碍.结果 观察组的透视次数、辐射剂量、穿刺时间均少于对照组,一次穿刺成功率(92.22%)高于对照组(63.33%),差异均有统计学意义(P<0.05).治疗后 1 周、2 周、1 个月,观察组的治疗优良率分别为 92.22%、88.89%、83.33%,与对照组(85.56%、83.33%、77.78%)差异均无统计学意义(χ2 = 2.025、1.161、0.887,均 P>0.05);2 组的 VAS 评分、ODI 指数均显著降低,差异有统计学意义(P<0.05).结论 超声联合C臂机选择性神经根注射治疗腰突致坐骨神经痛,能够减少透视次数、辐射剂量、穿刺时间,提高一次穿刺成功率.
Abstract
Objective To explore the clinical curative effect of ultrasound combined with C-arm machine selective nerve root injection on sciatica induced by lumbar disc herniation.Methods A total of 180 patients diagnosed with sciatica induced by lumbar disc herniation were divided into two groups:an observation group and a control group,each with 90 cases.The control group received treatment with C-arm machine selective nerve root injection,while the observation group received additional treatment with ultrasound.The good rates of treatment in both groups were statistically analyzed at 1 week,2 weeks,and 1 month after treatment.The pain level was evaluated using the visual analogue scale(VAS),and low back pain dysfunction was evaluated using the Oswestry disability index(ODI).Results The frequency of fluoroscopy,radiation dose,and puncture time were lower in the observation group compared to the control group.Additionally,the success rate of one-time puncture was higher in the observation group(92.22%)than in the control group(63.33%),and the difference was significant(P<0.05).There was no significant difference in the good rates of treatment between the observation and control groups at 1 week,2 weeks,and 1 month after treatment(92.22%,88.89%,83.33%vs 85.56%,83.33%,77.78%;χ2=2.025、1.161、0.887,all P>0.05).After treatment,both groups showed a significant decrease in VAS and ODI scores(P<0.05).Conclusions Ultrasound combined with C-arm machine selective nerve root injection can reduce fluoroscopy frequency and radiation dose,shorten puncture time and increase the success rate of one-time puncture in sciatica induced by lumbar disc herniation.
关键词
超声/C臂机/选择性神经根注射/腰椎间盘突出/神经痛Key words
ultrasound/C-arm machine/selective nerve root injection/lumbar disc herniation/sciatica引用本文复制引用
基金项目
浙江省卫生健康科技计划项目(2021ZH039)
浙江省卫生健康科技计划项目(2024XY154)
出版年
2024
国家科技期刊平台
NSTL
万方数据