超激光联合射频消融术对腰椎间盘突出症的治疗效果

目的：观察超激光照射联合射频消融术治疗腰椎间盘突出症的疗效。方法：62例腰椎间盘突出症患者随机分为2组,治疗组和对照组各31例。对照组在C型臂X线透视引导下穿刺腰椎间盘,进行射频消融术。治疗组除行腰椎间盘射频消融术外,予超激光治疗仪照射腰椎病变部位,照射时间20分钟至30分钟,1次/天,连续7天。比较两组术前,术后第1、2、3、5、7天,术后1月,术后3月的视觉模拟疼痛评分（VAS）和改良的MacNab标准评分。结果：术后第2、3、5、7天治疗组的VAS评分低于对照组（P〈0.05）,治疗组MacNab评价优良率高于对照组（P〈0.05）,术后1月、3月两组间VAS评分和MacNab评价优良率无差异（P〉0.05）。结论：在射频消融术的基础上辅以超激光照射治疗腰椎间盘突出症可尽快减轻患者的疼痛症状,促进患者早期康复。

The effect on lumbar disc herniation of super laser combined with radiofrequency ablation

Objectives:This research is to observe the effect on lumbar disc herniation of super laser combined with radiofrequency ablation.Methods:62 patients of lumbar disc herniation were randomly divided into treatment and control groups,31 patients for each group.The patients in control group were done lumbar puncture and radiofrequency ablation guided by C-arm X-ray.The patients in treatment group were done radiofrequency ablation,and Lumbar lesions were irradiated by super laser for 20-30 minutes each day conti...