低温等离子气化消融术诱发的颈椎盘源性疼痛分布规律分析

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摘要目的通过低温等离子技术气化消融神经诱发疼痛的方法，探讨颈椎盘源性疼痛的分布规律。方法选择2018年6～11月首都医科大学宣武医院疼痛科行CT引导下低温等离子椎间盘气化消融术的30例颈椎盘源性疼痛患者作为研究对象。术中，采用人体数字编码区域示意图记录诱发疼痛区域。结果低温等离子气化消融术的椎间盘节段包括14例C4～C5、17例C5～C6和5例C6～C7，其中C4～C5、C5～C6和C6～C7间盘均可诱发的疼痛区域包括颈肩交界、斜方肌后上方、肩胛骨、肩胛间、胸前、肩后。C4～C5间盘诱发的疼痛区域偏向头侧，包括前额、耳、枕后、枕下、颈后区域；C5～C6间盘诱发的疼痛区域包括颈后、颈前、颈肩交界、斜方肌后上方、肩胛骨、肩胛间、胸前、肩后、上臂、前臂、胸背；C6～C7间盘诱发的疼痛区域偏向足侧，包括上臂、前臂、胸背区域。结论颈椎盘源性疼痛的分布呈一定规律分布，具有重叠性、局限性、方向性和顺序性。

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	何亮亮倪家骧曹国庆郭玉娜杨立强▲

关键词 ：低温等离子, 颈椎盘源性疼痛, 间盘造影, 疼痛分布

Abstract：Objective To investigate the distribution of cervical discogenic pain through the method of low-temperature plasma gasification ablation technology to induce pain. Methods From June to November 2018, 30 patients with cervical discogenic pain underwent CT-guided low-temperature plasma intervertebral disc gasification ablation in Department of Pain of Xuanwu Hospital, Capital Medical University were selected as research objects. During the operation, the pain-inducing region was recorded by the schematic diagram of the digital coding region of human body. Results The intervertebral disc segments of low-temperature plasma gasification ablation included 14 cases of C4-C5, 17 cases of C5-C6, and 5 cases of C6-C7, among which, the pain areas induced by C4-C5, C5-C6, and C6-C7 intervertebral disc included the cervical and shoulder junction, the posterior upper part of the trapquadratus, the scapula, the interscapula, the chest, and the posterior shoulder. The pain areas induced by C4-C5 intervertebral disc were inclined to the cephalic side, including the forehead, ears, posterior occipital, suboccipital and posterior cervical areas. The pain areas induced by C5-C6 intervertebral disc included posterior, anterior, cervico-shoulder junction, posterior and upper part of the trapezius, scapula, interscapula, chest, posterior shoulder, upper arm, forearm and thorax. The pain areas induced by C6-C7 intervertebral disc were inclined to the side of the foot, including the upper arm, forearm and thoracodorsal areas. Conclusion The distribution of cervical discogenic pain is regular, with overlap, limitation, direction and sequence.

Key words： Low-temperature plasma Cervical discogenic pain Discography Pain distribution

基金资助:宣武医院院级课题（XWJL-2018033）。

通讯作者: ▲通讯作者

引用本文:

何亮亮倪家骧曹国庆郭玉娜杨立强▲. 低温等离子气化消融术诱发的颈椎盘源性疼痛分布规律分析[J]. 中国医药导报, 2019, 16(22): 119-122.
HE Liangliang NI Jiaxiang CAO Guoqing GUO Yu′na YANG Liqiang▲. Analysis of the distribution of cervical discogenic pain induced by low-temperature plasma gasification ablation. 中国医药导报, 2019, 16(22): 119-122.

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http://www.yiyaodaobao.com.cn/CN/ 或 http://www.yiyaodaobao.com.cn/CN/Y2019/V16/I22/119

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