| 引用本文:付本升，乔晋琳，崔洪鹏，张建军，杜薇，刘倩，钟毓贤，丁宇.“立体微创”治疗神经根型颈椎病[J].世界中医药,2016,(06):. |
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| “立体微创”治疗神经根型颈椎病 |
| Clinical Study of “Three-dimensional Minimally Invasive” Therapy in Treating Cervical Spondylotic Radiculopathy |
| 投稿时间：2016-02-04 |
| DOI：10.3969/j.issn.1673-7202.2016.06.010 |
| 中文关键词: 神经根型颈椎病 外科手术,微创 针刀 临床疗效 |
| English Keywords:Cervical spondylotic radiculopathy Surgery Minimally invasive Acupotome Clinical efficacy |
| 基金项目:北京市科学技术委员会资助课题——“首都临床特色应用研究”专项(编号:Z131107002213058) |
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| 中文摘要: |
| 目的:提出针对神经根型颈椎病“立体微创”治疗理念,并探讨其临床疗效。方法:采用回顾性分析海军总医院疼痛诊疗中心89例神经根型颈椎病患者的临床资料,其中应用颈椎前路射频热凝联合臭氧消融椎间盘、椎旁阻滞以及针刀松解椎旁软组织等“立体微创”治疗患者45例,应用药物保守治疗患者44例。所有患者定期进行随访,分别于3个月、6个月及末次随访进行临床疗效评估,记录视觉模拟评分(VAS)量表,比较不同时段的治疗结果,并计算临床治疗有效率。结果:平均随访(12.7±5.8)个月,2组随访结果显示术后VAS、SF-36分值均较术前有明显改善(均P<0.05)。立体微创组末次随访治疗优良率达97.8%,明显优于药物治疗组(P<0.01)。结论:中西医结合“立体微创”治疗神经根型颈椎病疗效肯定,创伤小、安全可靠,值得推广。 |
| English Summary: |
| To put forward the treatment concept of “three-dimensional minimally invasive (TDMI)” therapy aiming at cervical spondylotic radiculopathy(CSR),and meanwhile,to explore the related clinical efficacy.Methods:A retrospective study was conducted.The treating record of 89 patients with CRS in our hospital were analyzed.And 45 of them were treated with TDMI therapy.Combining with radiofrequency,oxygen-ozone and paravertebral block and needle knife techniques,we performed minimally invasive surgery against the different sites of the in-spinal and out-spinal pathology.The other 44 cases were treated with medicine.All patients were followed up regularly,and the clinical efficacy was evaluated in three months and six months after the surgery and the final time point.Scores of Visual Analogue Scale (VAS) and SF-36 were calculated and recorded.Those scores at different time points were analyzed and compared,and also,the clinical treatment efficacy was calculated.Results:The mean follow-up duration was （12.7±5.8）months.The scores of VAS and SF-36 improved in both group significantly after the treatment (P<0.05).The total effective rate was 97.8% of DIMI group at the final follow-up,significantly better than the medicine group (P<0.05).Conclusion:TDMI therapy is an effective minimally invasive and safe method in treating CSR,and worthy of promotion. |
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