低温等离子消融术联合硬膜外置管治疗盘源性腰痛的效果

Abstract
Figure/Table
References (23)
Related Citation (2)

Download: PDF (493 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To observe the effect of low temperature plasma ablation combined with epidural anterior interspace catheterization in the treatment of discogenic low back pain. Methods From January 2016 to January 2017, 80 patients with discogenic low back pain underwent minimally invasive treatment in the Department of Pain Management of Xuanwu Hospital, Capital Medical University were selected and divided into low temperature plasma ablation combined with epidural tube group (Group A, 42 cases) and low temperature plasma ablation group (Group B, 38 cases) by random digital table method. The VAS scores of two groups 1 week, 1 month, 3 and 6 months after operation were compared; reformed Macnab assessment was used to evaluate the treatment effect of two groups 1 month, 3 and 6 months after operation; the complications were recorded. Results The VAS scores difference were statistically significant at 1 week, 1 month, 3 and 6 months after treatment compared with those before operation in two groups (P < 0.05). VAS scores in Group A at each time points after operation were lower than those in the Group B, the differences were statistically significant (P < 0.05). 1 month, 3 and 6 months after operation, the propotion of patients with excellent or good score in the reformed Macnab assessment in Group A were higer than those in Group B, the differences were statistically significant (P < 0.01). There was no complications such as nerve and artery injury or infection was found in the two groups. Conclusion Lumbar low temperature plasma ablation combined with epidural anterior interspace catheterization is safe and effective in the treatment of discogenic low back pain.

Key words： Low temperature plasma ablation Epidural anterior interspace catheterization Discogenic low back pain

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	GUO Yu′na1 DOU Zhi1 LI Xiaolin1 TANG Yuanzhang1 YANG Liqiang1 YAN Wei2▲

Cite this article:

GUO Yu′na1 DOU Zhi1 LI Xiaolin1 TANG Yuanzhang1 YANG Liqiang1 YAN Wei2▲. Efficacy of low temperature plasma ablation combined with epidural tube in discogenic low back pain[J]. 中国医药导报, 2018, 15(28): 111-114.

URL:

http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I28/111

[1] 夏志敏，张西峰，周辉.椎间盘源性腰痛的治疗进展[J].中华骨科杂志，2009，29（1）：65-68.
[2] Campbell J，Colvin LA. Management of low back pain [J]. BMJ，2013，347：f3148.
[3] Park SY，Moon SH，Park MS，et al. Intradiscal electrothermal treatment for chronic lower back pain patients with internal disc disruption [J]. Yonsei Med J，2005，46（4）：539-545.
[4] Klessinger S. The frequency of re-surgery after lumbar disc Nucleoplasty in a ten-year period [J]. Clin Neurol Neurosurg，2018，170：79-83.
[5] Park KW，Song KS，Chung JY，et al. High-intensity zone on l-spine mri：clinical relevance and association with trauma history [J]. Asian Spine J，2007，1（1）：38-42.
[6] 杨晓辉，刘声苹，何明伟，等.硬膜外侧间隙置管持续注药联合臭氧治疗腰椎间盘突出症的临床观察[J].中国康复医学杂志，2012，27（9）：861-862.
[7] He L，Hu X，Tang Y，et al. Efficacy of coblation annuloplasty in discogenic low back pain：a prospective observational study [J]. Medicine（Baltimore），2015，94（19）：e846.
[8] Ohnhaus EE，Adler R. Methodological problems in the measurement of pain：a comparison between the verbal rating scale and the visual analogue scale [J]. Pain，1975， 1（4）：379-384.
[9] Macnab I. Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients [J]. J Bone Joint Surg Am，1971，53（5）：891-903.
[10] Freemont AJ，Peacock TE，Goupille P，et al. Nerve ingrowth into diseased intervertebral disc in chronic back pain [J]. Lancet，1997，350（9072）：178-181.
[11] Navone SE，Marfia G，Giannoni A，et al. Inflammatory mediators and signalling pathways controlling intervertebral disc degeneration [J]. Histol Histopathol，2017，32（6）：523-542.
[12] Matvienko VI，Siuremov MN. Anterior epidurography with verographin [J]. Zh vopr neirokhir im N N Burdenko，1983（1）：40-43.
[13] 周伶，李荣春.射频热凝靶点消融术在腰椎间盘突出症中的应用[J].中国疼痛医学杂志，2011，17（6）：383-384.
[14] He L，Tang Y，Li X，et al. Efficacy of coblation technology in treating cervical discogenic upper back pain [J]. Medicine（Baltimore），2015，94（20）：e858.
[15] 吕客，宋一平.射频热凝术治疗腰椎间盘突出症致终板炎报道[J].中国疼痛医学杂志，2014，20（6）：443-444， 446.
[16] Kepler CK，Anderson DG，Tannoury C，et al. Intervertebral disk degeneration and emerging biologic treatments [J]. J Am Acad Orthop Surg，2011，19（9）：543-553.
[17] Committee AT，Navaneethan U，Thosani N，et al. Radiofrequency ablation devices [J]. VideoGIE，2017，2（10）：252-259.
[18] 冷燕奎，侯力强，曹智强，等.经皮椎体成形术联合低温等离子消融治疗胸腰椎转移瘤的临床研究[J].中国医药导报，2018，15（6：71-74.
[19] Liu Q，Tawackoli W，Pelled G，et al. Detection of low back pain using pH level-dependent imaging of the intervertebral disc using the ratio of R1rho dispersion and -OH chemical exchange saturation transfer （RROC） [J]. Magn Reson Med，2015，73（3）：1196-1205.
[20] Saqib M，Bhatti SN，Khan MA，et al. Outcome analysis of two different injection solutions for epidural injection in radicular lumbar backache syndromes [J]. J Ayub Med Coll Abbottabad，2016，28（4）：709-714.
[21] Perkins WJ，Davis DH，Huntoon MA，et al. A retained Racz catheter fragment after epidural neurolysis：implications during magnetic resonance imaging [J]. Anesth Analg，2003，96（6）：1717-1719.
[22] Donato AD，Fontana C，Pinto R，et al. The effectiveness of endoscopic epidurolysis in treatment of degenerative chronic low back pain：a prospective analysis and follow-up at 48 months [J]. Acta Neurochir Suppl，2011，108（108）：67-73.
[23] 张育珠，徐梅玲.低温等离子以纤维环为靶点射频消融治疗盘源性腰痛手术的分析[J].中国医药科学，2018，8（3）：26-28.