WANG Jingxia,CHEN Xiaofeng,FAN Yunwu,et al.CT-guided targeted mini-invasive treatment of lumbar transverse process syndrome with water needle knife: a clinical study[J].journal interventional radiology,2022,31(04):364-368.







CT-guided targeted mini-invasive treatment of lumbar transverse process syndrome with water needle knife: a clinical study
王静霞 陈小峰 范云武 浦建枫 曹雯萍 曹 晔
WANG Jingxia CHEN Xiaofeng FAN Yunwu PU Jianfeng CAO Wenping CAO Ye.
Department of Medical Imaging, Zhangjiagang Municipal Second People’s Hospital, Zhangjiagang, Jiangsu Province 215631, China
【关键词】 腰椎横突综合征 CT引导 水针刀 临床研究
【摘要】 目的 探讨CT引导下水针刀靶向微创松解注射治疗腰椎横突综合征的疗效及安全性。方法 选取2017年1月至2019年4月就诊的腰椎横突综合征患者152例,随机分为观察组和对照组各76例。观察组采用CT引导下水针刀靶向微创松解注射治疗,对照组采用小针刀治疗。疗程结束3个月后采用总有效率来评定患者的治疗效果。采用Oswestry功能障碍指数(ODI)、JOA下腰痛评分、视觉模拟量表(VAS)评分对两组患者治疗前后的腰部功能障碍与疼痛程度进行评估,并比较治疗前后两组间差异。结果 治疗后观察组愈显率(治愈+显效)为76.4%,总有效率为94.4%,对照组愈显率为55.7%,总有效率为77.1%。与对照组相比,观察组的愈显率、总有效率更高(均P<0.01)。治疗前两组患者ODI脊柱功能障碍总分、ODI、JOA下腰痛评分、VAS评分比较差异无统计学意义(均P>0.05)。两组治疗后观察组ODI脊柱功能障碍总分、ODI、VAS评分与对照组比较下降更为显著(均P<0.01);JOA下腰痛评分与对照组比较提高更为显著(P<0.01)。结论 采用CT引导下水针刀靶向微创松解注射技术治疗腰椎横突综合征疗效好,安全性高,患者痛苦小,对正常软组织的损伤少,是一种精准的微创介入治疗法。


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更新日期/Last Update: 2022-05-11