| X线造影下腰神经根管注射治疗坐骨神经痛 |
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投稿时间：2020-12-19
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| 作者 | Author | 单位 | Address | E-Mail |
| 丁宁 |
DING Ning |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 王涓涓 |
WANG Juan-juan |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 刘加宝 |
LIU Jia-bao |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 张起 |
ZHANG Qi |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 李连栋 |
LI Lian-dong |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 刘广东 |
LIU Guang-dong |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
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| 古恩鹏 |
and GU En-peng |
天津市滨海新区中医医院, 天津 300451 |
Tianjin Binhai New Area Chinese Medicine Hospital, Tianjin 300451, China |
gep1967@163.com |
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| 期刊信息：《中国骨伤》2022年，第35卷，第2期，第159-162页 |
| DOI：10.12200/j.issn.1003-0034.2022.02.013 |
| 基金项目:天津市滨海新区卫生计生委科技项目（编号：2016BWKL001）；天津市卫生和计划委员会中医中西医结合科研项目（编号：2017097） |
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中文摘要:
目的：探讨X线造影下行腰神经根管注射治疗坐骨神经痛的短期临床疗效。
方法：对2017年12月至2020年2月采用X线造影下腰神经根管注射治疗的78例坐骨神经痛患者进行回顾性分析，男31例，女47例；年龄22~88岁，中位数65岁；腰椎间盘突出55例，腰椎管狭窄23例；病程1~8周，中位数3周。单节段椎间盘突出或狭窄71例，其中L3，4 5例，L4，5 61例，L5S1 5例，多节段突出或狭窄7例。记录治疗前后疼痛视觉模拟评分（visual analogue scale，VAS），并按Macnab评定标准进行疗效评估。
结果：所有患者完成标准化治疗，无严重不良反应。VAS治疗后即刻为（3.21±0.76）分，治疗后1 h为（2.89±0.33）分，治疗后6 h为（1.80±0.27）分，治疗后24 h为（1.10±0.20）分，治疗后1周为（2.53±0.35）分，治疗后1个月为（4.27±0.36）分，治疗后各个时间段VAS与治疗前的（7.83±0.56）分比较差异均有统计学意义（P<0.05）。按照Macnab腰痛评价标准治疗后24 h内有效42例，显效34例，无效2例，有效率97.4%；1周内有效38例，显效25例，无效15例，有效率80.0%，1个月内有效32例，显效22例，无效24例，有效率69.2%。
结论：X线造影下神经根管注射治疗坐骨神经痛的短期临床疗效较好，是一种缓解坐骨神经痛的有效方法。 |
| 【关键词】X线 坐骨神经痛 腰神经根管注射 |
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| Treatment of sciatica by lumbar nerve root canal injection under X-ray angiography |
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ABSTRACT
Objective: To investigate the short-term clinical effect of lumbar nerve root canal injection under X-ray angiography in the treatment of sciatica.
Methods: The clincal data of 78 patients with sciatica underwent lumbar nerve root canal injection under X-ray angiography from December 2017 to February 2020 was retrospectively analyzed. Including 31 males and 47 females,aged from 22 to 88 years old with a median of 65 years. There were 55 cases of lumbar disc herniation and 23 cases of lumbar spinal stenosis,the course of disease ranged from 1 to 8 weeks with a median of 3 weeks. There were 71 cases of single segment disc herniation or stenosis,including L3,4 of 5 cases,L4,5 of 61 cases,L5S1 of 5 cases,and 7 cases of multisegment herniation or stenosis. The pain visual analogue scale (VAS) was recorded and Macnab was used to evaluate the clinical effect.
Results: All patients completed standardized treatment without serious adverse reactions. VAS were (3.21±0.76) scores immediately after treatment,(2.89±0.33) scores 1 hour after treatment,(1.80±0.27) scores 6 hours after treatment,(1.10±0.20) scores 24 hours after treatment,(2.53±0.35) scores 1 week after treatment and (4.27±0.36) scores 1 month after treatment. There were significant differences in VAS between before treatment(7.83±0.56) and each time period after treatment(P<0.05). According to Macnab low back pain evaluation standard,42 cases were effective,34 cases were markedly effective and 2 cases were ineffective within 24 hours after treatment,with an effective rate of 97.4%;38 cases were effective,25 cases were markedly effective,15 cases were ineffective within one week after treatment,the effective rate was 80.0%;32 cases were effective,22 cases were markedly effective,24 cases were ineffective within one month after treatment,the effective rate was 69.2%.
Conclusion: The short-term clinical effect of nerve root canal injection under X-ray radiography in the treatment of sciatica is good and it is an effective method to relieve sciatica. |
| KEY WORDS X-rays Sciatica Lumbar nerve root canal injection |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 丁宁,王涓涓,刘加宝,张起,李连栋,刘广东,古恩鹏.X线造影下腰神经根管注射治疗坐骨神经痛[J].中国骨伤,2022,35(2):159~162 |
| 英文格式: | DING Ning,WANG Juan-juan,LIU Jia-bao,ZHANG Qi,LI Lian-dong,LIU Guang-dong,and GU En-peng.Treatment of sciatica by lumbar nerve root canal injection under X-ray angiography[J].zhongguo gu shang / China J Orthop Trauma ,2022,35(2):159~162 |
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