2023 年第 5 期 第 18 卷

前后路联合低温等离子射频治疗颈椎间盘突出症的临床效果

Clinical effect of anterior and posterior approach combined low temperature plasma radiofrequency on the treatment of cervical disc herniation

作者：郭向飞孙海燕庞金磊霍岩松

英文作者：Guo Xiangfei Sun Haiyan Pang Jinlei Huo Yansong

单位：首都医科大学附属北京安贞医院麻醉中心疼痛科，北京100029

英文单位：Department of Pain Medicine Anesthesiology Center Beijing Anzhen Hospital， Capital Medical University， Beijing 100029 China

关键词：颈椎间盘突出症；低温等离子射频；前后路联合

英文关键词：Cervicaldischerniation;Lowtemperatureplasmaradiofrequency;Anteriorandposteriorapproach

• 摘要：

• 目的 探讨前后路联合低温等离子射频治疗颈椎间盘突出症（CDH）的临床效果。方法 选取首都医科大学附属北京安贞医院2020年2月至2022年10月收治的CDH患者98例，根据随机数字表法将患者分为观察组和对照组，各49例。观察组患者接受前后路联合低温等离子射频治疗，对照组患者接受前路低温等离子射频治疗。比较2组临床疗效以及手术前后疼痛视觉模拟量表（VAS）评分、颈椎功能障碍指数量表(NDI)评分、颈椎活动度。记录患者术后并发症发生情况。结果  2组总有效率比较差异无统计学意义（P=0.957）。术后1个月，2组VAS、NDI评分均低于术前，且观察组均低于对照组［（1.0±0.6）分比（1.2±0.7）分、（10.8±1.6）分比（13.1±1.4）分］，差异均有统计学意义（t=40.189、55.395，均P＜0.001）；2组颈椎左旋、右旋、前屈及后伸活动度均大于术前，且观察组左旋、右旋、前屈活动度均大于对照组，差异均有统计学意义（均P＜0.05）。2组各有1例患者术后出现恶心，对症治疗后缓解。结论   前后路联合低温等离子射频治疗CDH，在患者症状及颈椎活动度方面优于前路低温等离子射频治疗，且安全性较好。

• Objective  To investigate the clinical effect of anterior and posterior approach combined low temperature plasma radiofrequency on the treatment of cervical disc herniation(CDH). Methods From February 2020 to October 2022, 98 patients with CDH admitted to Beijing Anzhen Hospital, Capital Medical University were selected. Patients were divided into observation group and control group according to the random number table method, with 49 cases in each group. The observation group was treated with anterior and posterior approach combined low temperature plasma radiofrequency, and the control group was treated with anterior approach low temperature plasma radiofrequency. The clinical effect, pain visual analogue scale (VAS) score, neck disablity index scale (NDI) score, cervical mobility before and after operation were compared between the two groups, and postoperative complications of patients were recorded. ResultsThere was no significant difference in total efficacy rate between the two groups (P=0.957). The scores of VAS and NDI in both groups 1 month after operation were lower than those before treatment, and those in the observation group were lower than those in the control group ［（1.0±0.6） vs （1.2±0.7）,（10.8±1.6） vs （13.1±1.4）］（t=40.189, 55.395， both P＜0.001）. Cervical mobility of left rotation, right rotation, forward flexion and backward extension in both groups were greater than those before operation, and cervical mobility of left rotation, right rotation and forward flexion in the observation group were greater than those in the control group (all P<0.05). One patient in each group had nausea after operation, which alleviated after symptomatic treatment. Conclusion Anterior and posterior approach combined low temperature plasma radiofrequency in the treatment of CDH is superior to anterior approach low temperature plasma radiofrequency therapy in improving symptom and cervical mobility of patients, with good security.