何丁文;程子韵;魏强强;陈伟才;高贵程;贾惊宇;吴添龙;殷明;程细高;

• 1:南昌大学第二附属医院

摘要(Abstract)：

[目的]探讨经椎间孔选择性神经根阻滞和微创小切口手术诊治非典型腰椎间盘突出症的有效性和应用价值。[方法]筛选出非典型腰椎间盘突出症18例,所有患者均经椎间孔行选择性神经根阻滞明确诊断后再行微创小切口椎间植骨融合术,采用疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)及改良下腰痛日本骨科学会(JOA)评分评估治疗效果,并观察手术时间、出血量、住院时间及并发症等情况。[结果]所有患者神经根阻滞后症状立即缓解,诊断明确后行微创小切口手术,确认4例为神经根管卡压,10例为游离髓核碎片挤压神经根腋部或肩部,4例为纤维环菲薄膨出于侧隐窝。术后VAS评分、ODI评分及JOA评分均较术前显著改善(P<0.05)。[结论]经椎间孔选择性神经根阻滞是诊断非典型腰椎间盘突出症行之有效的方法;微创小切口手术恢复快、创伤小,二者联合对非典型腰椎间盘突出症的诊治具有重要临床应用价值,值得推广。

关键词(KeyWords)： 经椎间孔选择性神经根阻滞;微创;小切口手术;非典型腰椎间盘突出症

Abstract:

Keywords:

基金项目(Foundation): 江西省卫生厅科技项目(编号:20141059)

作者(Author): 何丁文;程子韵;魏强强;陈伟才;高贵程;贾惊宇;吴添龙;殷明;程细高;

Email:

DOI:

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