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《超聲引導(dǎo)下小關(guān)節(jié)注射治療腰椎小關(guān)節(jié)綜合征.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
1、·202·中國(guó)疼痛醫(yī)學(xué)雜志ChineseJournalofPainMedicine2015，21r3doi：10．39698．issn．1006—9852．2015．03．009超聲引導(dǎo)下小關(guān)節(jié)注射治療腰椎小關(guān)節(jié)綜合征朱婷肖禮祖。單莉莉。孫宇李加平鄭虎山(廣東醫(yī)學(xué)院附屬南山醫(yī)院’超聲科；疼痛科；婦科，深圳518052)摘要目的：觀察超聲引導(dǎo)下小關(guān)節(jié)注射治療腰椎小關(guān)節(jié)綜合征的臨床可行性、有效性及安全性。方法：對(duì)4O例腰椎小關(guān)節(jié)患者采用實(shí)時(shí)超聲弓f導(dǎo)下行小關(guān)節(jié)注射治療。術(shù)后隨訪12周，應(yīng)用視覺模擬評(píng)分法(VAS)評(píng)定術(shù)前、術(shù)后患者疼痛程度。結(jié)果：40例患者，需要觀察的
2、腰椎小關(guān)節(jié)共57個(gè)，超聲成功探測(cè)到54個(gè)小關(guān)節(jié)。對(duì)54個(gè)腰椎小關(guān)節(jié)行超聲引導(dǎo)下注射鎮(zhèn)痛復(fù)合液，均操作成功，未發(fā)生神經(jīng)、血管損傷及其他并發(fā)癥。治療后1、4、12周的VAS評(píng)分均顯著低于治療前的VAS評(píng)分(P<0．001)。治療后1周與12周VAS評(píng)分的差異有統(tǒng)計(jì)學(xué)意義(P<0．05)，但1周與4周、4周與12周的VAS評(píng)分差異均無(wú)統(tǒng)計(jì)學(xué)意義結(jié)論：超聲引導(dǎo)下小關(guān)節(jié)注射治療腰椎小關(guān)節(jié)綜合征具有臨床可行性，安全性好，療效確切。關(guān)鍵詞腰椎小關(guān)節(jié)；超聲引導(dǎo)；注射ULTRASOUND-GUIDEDFACETJoTINJECTIONFORIM口E
3、ARFACETJOINTSSYN
4、DRoM匝ZHUTing，XIAOLi—Zu2SHANLi—Li，SUNYu，LIJia—Ping，ZHENGHu—Shan，(DepartmentofUltrasound，DepartmentofPainMedicine，DepartmentofGynaecology,NanshanHospitalAfiliatedtoGuangdongMedicalCollege，Shenzhen518052)AbstractObjective：Toexploretheclinicalfeasibility,efectivenessandsafetyofultrasound—
5、guidedfacetjointinjectioninthetreatmentoflumbarfacetjointssyndrome．Methods：Fortypatientswithlumbarfacetjointssyndromeunderwentfacetjointinjectionundertherealtimeultrasoundguidance．Allthepatientswerefollowedupfor12weeksandassessedbyvisualanaloguescale(VAS)beforeandafteroperation．Result
6、s：Atotalof57lumbarfacetjointsfrom40patientswereobservedundertheultrasound．Atotalof54lumbarfacetjointswereclearlyvisualized．54lumbarfacetjointswereinjectedwiththeanalgesiccompoundsolutionundertheUltrasound—guided．TheSuccessrateofultrasound-guidedpuncturewas100％．Therewerenolocalorsystem
7、iccomplications，suchasintravascularinjectionornerveinjection．VASscoresontheweek1，4and12postoperatiVe1yweresignificantlylowerthanthepreoperativescore(P<0．001)．ThereweresignificantdiferencebetweenVASscoresontheweek1and12postoperatively(P<0．05)．buttherewerenosignificantdiferencesbetweent
8、heweek1and4ortheweek4and12．Conclusion：Ultrasound—guidedfacetjointinjectionisafeasible，safeandefectivemethodforlumbarfacetjointssyndrome．KeywordsLumbarfacetjoint；Ul~asound—guided；Injection腰椎小關(guān)節(jié)綜合征是一種腰椎小關(guān)節(jié)退行性佳或嚴(yán)重的并發(fā)癥。超聲引導(dǎo)作為一種新的影變或炎癥引起的急、慢性腰部疼痛，臨床上通常使像介入手段，已逐步應(yīng)用于疼痛診療工作中，但對(duì)用小關(guān)節(jié)腔注射和脊神經(jīng)后內(nèi)側(cè)支
9、阻滯治療?
