C型臂X线透视机引导下局部注射对腰椎小关节骨性关节炎疗效分析.docVIP

C型臂X线透视机引导下局部注射对腰椎小关节骨性关节炎疗效分析 　 作者：李兴洲，张峰 ，陈犬利 ，曹斌， 姬海鹏，李展奇 【关键词】 腰椎小关节骨性关节炎；C型臂X线透视机；局部注射治疗；曲安奈德 　　Effect of injecting triamcinolone acetonide and lidocaine to lumbar facet joint under the guidance of CArm Xray medical equipment in the treatment of lumbar facet osteoarthritis 　【Abstract】AIM: To evaluate the effect of injecting triamcinolone acetonide and lidocaine to lumbar facet joint under the guidance of CArm Xray medical equipment in the treatment of lumbar facet osteoarthritis. METHODS: The cases of lumbar facet osteoarthritis (n=120) were randomly divided into 2 groups, experimental group (n=60) treated with local injection under the guidance of CArm Xray medical equipment and control group (n=60) with oral administration of ibuprofen. The curative effects were evaluated by visual analogy scale (VAS) for pain and Motion Function Scale. RESULTS: The total effective rate was 82.69% in experimental group and 58.14% in control group. The former was signicantly better than the latter (Plt;0.05). CONCLUSION: Injecting triamcinolone acetonide and lidocaine to lumbar facet joint under the guidance of CArm Xmedical equipment can relieve the pain of lumbar facet osteoarthritis,and improve the lumbar motion. It is more effective than oral ibuprofen for the treatment of lumbar facet osteoarthritis. 　　【Keywords】 lumbar facet osteoarthritis; CArm Xmedical equipment; injection; triamcinolone acetonide 　　【摘要】 目的： 评估C型臂X线透视机引导下局部注射治疗腰椎小关节骨性关节炎的疗效分析. 方法： 对120例C型臂X线透视机引导下局部注射及口服药物治疗腰椎小关节骨性关节炎随机对照、分析，其中口服布洛芬药物治疗组60例；C型臂X线透视机引导下局部注射治疗组60例，采用疼痛模拟评分法（VAS）和活动功能评分法评分. 结果： 口服布洛芬药物治疗组完成43例，有效率58.14%；局部注射治疗组完成52例，有效率82.69%. 结论： C型臂X线透视机引导下局部注射治疗能有效的缓解腰椎小关节源性疼痛，改善腰椎活动度，是治疗腰椎小关节骨性关节炎的较好方法；疗效优于布洛芬药物治疗. 　　【关键词】 腰椎小关节骨性关节炎；C型臂X线透视机；局部注射治疗；曲安奈德 　　0引言 　　腰椎小关节骨性关节炎是常见的腰椎退行性疾病，其基本病理特点为腰椎小关节关节软骨损害，关节边缘和软骨下骨反应性增生. 1911年Goldthwait［1］最先认识到部分下腰痛可能由腰椎小关节病变引起. Ghormley［2］则将源于椎小关节的腰腿痛命名为“小关节综合症”. Badglay［3］在椎小关节进行了病理解剖研究后证实椎小关节存在骨性关节炎. 系统的研究始于1964年，Lewin［4］对腰椎小关节骨性关节炎的流行病学、病因学和组织形态学进行了深入研究，使人们对腰椎小关节炎