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腰脊神经后支射频热凝治疗腰部软组织疼痛的疗效

Theraputic effects of Radiofrequency thermocoagulation on posterior rami of lumbar spinal nerves in Waist soft tissue pain

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目的:探讨腰脊神经后支射频热凝治疗腰部软组织疼痛的临床疗效。方法:选择腰部软组织疼痛的患者180例,随机分为 A 组(实验组,n=90),B组(对照组,n=90);。A 组患者在 CT 直视下行疼痛区域脊神经后支射频热凝治疗。B 组患者采用传统的口服止痛药物及针灸理疗治疗。记录两组患者在治疗前、治疗两周后的疼痛程度;疼痛程度测量采用视觉模拟评分法(visual analogue scale VAS)。结果:A 组在治疗后有81例疼痛消失,9例疼痛缓解。B 组疼痛消失的有45例,疼痛缓解的有24例,无效的有21例。治疗后 VAS 评分,A 组显著优于 B 组(P<0.05)。结论:相对于传统方法,腰脊神经后支射频热凝能快速、有效地治疗腰部软组织痛。
Objective: To evaluate efficacy of Radiofrequency (RF) thermocoagulation of posterior rami on lumbar spinal nerves in Waist soft tissue pain.180 patients with Waist soft tissue pain were randomly divided into group A and B (n=90). Group A were treated with RF thermocoagulation ,guided by CT .Group B were treated with Oral sedatives and acupuncture . Patients were observed for 2 weeks, measured before and after treatment using visual analogue scale (VAS) which ranged from 0 (no pain) to 10 ( most severe pain). Results: Within group B, pain disappeared in 81 patients , relieved in 9. Within group A, pain disappears were observed in 45 patients, relief in 24 , ineffectiveness in 21.After treatment,VAS of groupA is significantly bet er than group B(P<0.05).Conclusion: The theraputic effects of radiofrequency (RF) thermocoagulation of posterior rami of spinal nerves on l waist soft tissue pain, is bet er than conventional treatment.

Posterior rami of spinal nervesRadiofrequency thermocoagulationWaist soft tissue pain

陈松、王志力、李明、张俊辉

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四川江油.三医院疼痛科 四川 江油 621700

腰脊神经后支 射频热凝 腰部软组织疼痛

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(8)
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