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射频热凝靶点消融术治疗椎间盘疾患的临床疗效研究

孟庆恒1,岳树源2,刘林3,孙明礼1   

  1. 1. 海洋石油总医院（天津塘沽区渤海石油路10号）
    2. 天津医科大学总医院
    3. 天津三潭医院
  • 收稿日期:2012-06-04 修回日期:2012-12-06 出版日期:2013-03-15 发布日期:2013-03-15
  • 通讯作者: 岳树源

The study of clinical efficacy of radiofrequency thermal ablation of targets in intervertebral disc disease

  • Received:2012-06-04 Revised:2012-12-06 Published:2013-03-15 Online:2013-03-15

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摘要：

【摘要】目的 探讨射频热凝靶点消融术在临床治疗椎间盘疾患中的疗效。方法 收集130例经CT或MRI检查符合适应证患者的临床资料，其中65例患者（A组）应用射频热凝靶点消融术治疗，其余65例患者（B组）采取常规保守治疗；对2组患者的一般临床资料和治疗后3个月内的优良率进行分析。结果 A组65例患者，经过射频热凝消融术治疗后3个月评估，其中49例治疗效果达优级，11例治疗效果良好，4例效果较差，1例无效，优良率92.3%；B组65 例患者，经过保守治疗后3个月评估，其中27例治疗效果达优级，16例治疗效果良好，14例效果较差，8例无效，优良率66.2%。治疗后24 h、1周、1个月、3个月，射频热凝靶点消融术治疗椎间盘疾患的优良率均大于常规保守治疗，差异有统计学意义（P < 0.05）。结论 射频热凝靶点消融术是目前微创领域治疗椎间盘疾患的一种安全、有效的治疗方法。

关键词: 椎间盘疾患, 射频热凝靶点消融术, C型臂, 优良率

Abstract: Abstract Objective:To explore the clinical efficacy of radiofrequency thermal ablation of targets in treatment of intervertebral disc disease.Methods:After Collecting the clinical data of 130 patients comforming to the indication through CT and MRI,sixty-five patients(A group) were treated by radiofrequency thermal ablation of targets,anather sixty-five patients(B group) were cured by conservative treatment and anlysed the general clinical data and excellent and good rat in three monthes after treatment between two groups.Results:In the A groups’s patients,forty-nine patients gained excellent effects,eleven patients obtained good effects,four patients had poor effects and one cases had no effects after three monthes of the treatment of radiofrequency thermal ablation of targets with the excellent and good rate of 92.3%. In the B groups’s patients,twenty-seven patients gained excellent effects,sixteet patients obtained good effects,fourteen patients had poor effects and eight cases had no effects after three months of conservative treatment with the excellent and good rate of 66.2%.There were significant difference in treatment of intervertebral disc disease between radiofrequency thermal ablation of targets and conservative treatment(P<0.05).Conclusions:Radiofrequency thermal ablation of targets for treatment of intervertebral disc disease is a safety and efficacious treatment in the field of minimally invasive.

Key words: intervertebral disc disease, radiofrequency thermal ablation of targets, x-arm, excellent and good rate