腰椎间盘低温等离子消融联合腰交感神经导管置入治疗盘源性内脏痛的效果

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Abstract Objective To discuss the therapeutic effect of low temperature plasma ablation in conjunction with lumbar sympathetic nerve catheterization on the lumbar discogenic visceral pain. Methods Thirty-four patients with lumbar discogenic visceral pain who were treated in the Xuanwu Hospital, Capital Medical University from January 2015 to January 2017 were divided into two groups. Eighteen patients treated with the lumbar sympathetic nerve catheterization were included into Group A, and 16 patients treated with the low temperature plasma ablation in conjunction with lumbar sympathetic nerve catheterization were included into Group B. The numeric rating scales (NRS) depending on the level of pain of two groups before surgery and different periods after surgery (immediately, 1 week, 3, 6 and 12 months) were recorded. The self-rating depression scale (SDS) of two groups before and 12 months after surgery were contrasted. The NRS differentials of two groups before surgery and immediately, 1 week, 3, 6, 12 months after surgery and the SDS scores and differentials of two groups before and 12 months after surgery were analyzed. The NRS/SDS differentials were the NRS/SDS before surgery minus the NRS/SDS after surgery. Adverse reaction and complication after surgery were recorded. Results The NRS differential of 3, 6, 12 months after surgery of Group B were higher than those of Group A, the differences were statistically significant (P = 0.001, 0.001, 0.011). The SDS scores of two groups before surgery showed no statistical significance (P = 0.397). The SDS scores of Group A before and 12 months after surgery showed no statistical significance (P = 0.974). And the SDS scores of Group B before and 12 months after surgery showed statistical significance (P = 0.001). The SDS differential of 12 months after surgery of Group B was higher than that of Group A with statistical significance (P = 0.010). The two groups exhibited no complication such as paresthesia or numbness in corresponding dominating region caused by infection and nerve injury. Conclusion Compared with single lumbar sympathetic nerve catheterization, the low temperature plasma ablation in conjunction with lumbar sympathetic nerve catheterization exhibits a better effect in mid-long-term on lumbar discogenic visceral pain, and can relieve the depression.

Key words： Lumbar discogenic visceral pain Low temperature plasma ablation Lumbar sympathetic nerve catheterization Therapeutic effect

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	LU Haiyan1 YANG Liqiang1 TANG Yuanzhang1 PENG Kejun2 FANG Shengchun3 NI Jiaxiang1

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LU Haiyan1 YANG Liqiang1 TANG Yuanzhang1 PENG Kejun2 FANG Shengchun3 NI Jiaxiang1. Therapeutic effect of low temperature plasma ablation in conjunction with lumbar sympathetic nerve catheterization on the lumbar discogenic visceral pain[J]. 中国医药导报, 2018, 15(28): 99-102.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I28/99

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