[1]陈德强 张家立 杨 辉 李奕军 江文勇.射频消融联合臭氧治疗颈椎关节突关节疼痛 综合征的临床疗效分析[J].大众科技,2018,20(10):56-58.
　Clinical Therapeutic Effect of Radiofrequency Ablation Combined with Ozone Therapy for Cervical Zygapophyseal Join Pain Syndrome[J].Popular Science & Technology,2018,20(10):56-58.
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射频消融联合臭氧治疗颈椎关节突关节疼痛 综合征的临床疗效分析()
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《大众科技》[ISSN:1008-1151/CN:45-1235/N]

卷:
20
期数:
2018年10期
页码:
56-58
栏目:
医药与卫生
出版日期:
2018-10-20

文章信息/Info

Title:
Clinical Therapeutic Effect of Radiofrequency Ablation Combined with Ozone Therapy for Cervical Zygapophyseal Join Pain Syndrome
作者:
陈德强1 张家立2 杨 辉1 李奕军1 江文勇1
（1.广西中医药大学，广西 南宁 530000；2.广西中医药大学第一附属医院，广西 南宁 530000）
关键词:
颈痛; 颈椎关节突关节综合征; 射频消融术; 臭氧
Keywords:
neck pain;  cervical zygapophyseal join paint syndrome;  radiofrequency ablation;  ozone
文献标志码:
A
摘要:
目的：观察射频消融术联合臭氧治疗颈椎关节突关节综合征的临床治疗效果。方法：收集2015 年10 月至2016年8 月期间广西中医药大学第一附属医院住院颈椎关节突关节疼痛综合征的患者60 例。随机分为Ａ组（n＝30）和Ｂ组（n＝30），Ａ组采取射频消融联合臭氧治疗，Ｂ组患者给予颈痛颗粒服用，3 次/d，1 袋/次，2 周后停药。记录所有患者治疗前和治疗后1 周、1 月、3 月、半年、1 年时颈痛视觉模拟评分（VAS），及治疗1 年后颈椎功能Macnab 疗效评定。结果：不同的治疗时间对患者疼痛评分的影响具有统计学意义（P＜0.05），不同的治疗方法对患者疼痛评分的影响具有统计学意义（P＜0.05），两组患者治疗1 年后颈椎功能Macnab 疗效比较，具有统计学意义（t＝32.3a P＜0.05）。结论：射频消融术联合臭氧治疗颈椎关节突关节疼痛综合征[1,2]具有创伤小，安全性高，短期疗效好，有效的微创手术治疗的方式之一。
Abstract:
Objective: To observe the clinical effects of radiofrequency ablation combined with ozone in the treatment of cervical zygapophyseal join pain syndrome. Methods: Sixty patients with cervical zygapophyseal join pain syndrome from First Clinical Hospital of Guangxi University of Chinese Medicine between October 2015 and August 2016 were collected. They were randomly divided into group A (n＝30) and group B (n＝30). Group A was treated with radiofrequency ablation combined with ozone. Group B patients were given neck pain granules for 2 weeks (3times/d, 1bag/time). Neck pain visual analog scale (VAS) of all patients were recorded before treatment and 1 week, 1 month, 3 months, 6 months, and 1 year after treatment and the cervical vertebrae function Macnab efficacies were evaluated 1year after treatment. Results: The effect of treatment time on pain scores of patients was statistically significant (P＜0.05). The effect of treatment methods on pain scores of patients was statistically significant (P＜0.05). The efficacies of cervical vertebrae function Macnab after treatment 1 year of in both groups were compared, with statistical significance (t＝32.3a P＜0.05). Conclusion: Radiofrequency ablation combined with ozone treatment for cervical zygapophyseal join paint syndrome [1,2] is one of the methods of minimally invasive, high safety, low recurrence rate and effective minimally invasive surgery.

参考文献/References:

【参考文献】 [1] Van d P F,Soetens F,Lebrun C,et al.Phrenic Nerve Injury After Radiofrequency Denervation of the Cervical Medial Branches[J].Pain Practice,2015,16(2):E42-E45. [2] Gevargez A,Braun M,Schirp S,et al.Chronic non radicular cervicocephalic syndrome:CT-guided percutaneous RF- thermocoagulation of the zygapophysial joints [J].Schmerz, 2001,15(3):186-191. [3] Hambraeus J,Hambraeus K S,Persson J.Radiofrequency denervation improves health-related quality of life in patients with thoracic zygapophyseal joint pain[J].Pain Medicine, 2018,19(5):914-919. [4] Mclain R F.Mechanoreceptor endings in human cervical facet joints[J].Spine,1994,19(5):495-501. [5] Lord S M,Barnsley L,Wallis B J,et al.Third occipital nerve headache:a prevalence study[J].Journal of Neurology Neurosurgery & Psychiatry,1994,57(10):1187-1190. [6] Bogduk N,Marsland A.On the concept of third occipital headache.[J].Journal of Neurology Neurosurgery&Psychiatry, 1986,49(7):775-780. [7] Bogduk N.The clinical anatomy of the cervical dorsal rami[J].Spine,1982,7(4):319-330. [8] Dwyer A,Aprill C,Bogduk N.Cervical zygapophyseal joint pain patterns.I:A study in normal volunteers[J].Spine,1990, 15(6):453-457. [9] Bogduk,Nikolai.On the rational use of diagnostic blocks for spinal pain[J].Neurosurgery Quarterly,2009,19(2):88-100. [10] Lehnert T,Naguib N N,Wutzler S,et al.Analysis of disk volume before and after CT-guided intradiscal and periganglionic ozone-oxygen injection for the treatment of lumbar disk herniation[J].Journal of Vascular & Interventional Radiology,2012,23(11):1430-1436. [11] Steppan J,Meaders T,Muto M,et al.A Metaanalysis of the effectiveness and safety of ozone treatments for herniated lumbar discs[J].Journal of Vascular & Interventional Radiology,2010,21(4):534-548.

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备注/Memo

备注/Memo:
【收稿日期】2018-08-10 【作者简介】陈德强（1990－），男，广西南宁人，广西中医药大学在读硕士研究生。 【通信作者】张家立（1966－），男，广西中医药大学第一附属医院骨科主任医师，教授。
更新日期/Last Update: 2018-11-20