射频消融术治疗腰椎间盘突出症临床恢复效果研究

The Research of Clinical Recovery Effect of Radiofrequency Ablation Therapy for Lumbar Disc Herniation

摘要: 目的：探究射频消融术治疗腰椎间盘突出症的临床恢复效果。方法：选取杭州市临安区第一人民医院、宁波市宁海县中医院2021年11月~2022年11月80例腰椎间盘突出症患者作为研究对象，均存在腰痛伴坐骨神经痛，或伴有下肢放射痛。采取随机匹配病例对照研究方法，将80例患者分为对照组和观察组，每组各40人。对照组行冲击波治疗，观察组行射频消融术治疗。于患者治疗7日后评估临床恢复效果，并记录疼痛数字评分(NRS)、直腿抬高试验度数、静脉血栓栓塞症风险评分(VTE)和治疗优良率。结果：观察组的临床疗效明显好于对照组，差异具有统计学意义(P < 0.05)；经治疗，观察组的NRS疼痛评分低于对照组，差异具有统计学意义(P < 0.05)；治疗前后两组的VTE评分均无统计学差异(P > 0.05)。结论：对腰椎间盘突出症患者采用射频消融术治疗，可有效缓解患者疼痛，临床效果显著。

Abstract: Objective: To explore the clinical recovery effect of radiofrequency ablation in the treatment of lumbar disc herniation. Method: A total of 80 patients mainly with lumbar disc protrusion were admitted into the First People’s Hospital of Lin’an District, Hangzhou and Ninghai County Hospital of Traditional Chinese Medicine, Ningbo from November 2021 to November 2022, who are suffered from lumbago with sciatica, or radiation pain of lower limbs, the 80 patients were divided into the control group and observation group by the random number table method with 40 cases in each group. The control group was treated with shock wave therapy, and the observation group was treated with radiofrequency ablation. The clinical recovery effect was evaluated at 7 days, and the Numerical Rating Scale (NRS), straight leg elevation test degree, Venous Thromboembolism (VTE) and the excellent rate were recorded. Result: The clinical effects were more obviously seen in the observation group than that in the control group, and the difference in result was statistically sig-nificant (P < 0.05). After the keyhole treatment, the NRS pain score of the observation group was lower than that of the control group, and the difference was also significant in statistic (P < 0.05). However, the VTE scores of the two groups before and after treatment were not statistically differ-ent (P > 0.05). Conclusion: The treatment for patients with lumbar disc herniation by radiofre-quency ablation can dramatically relieve their pains, which means that it has remarkable clinical effect.