颈椎盘内射频联合小剂量胶原酶溶解术对椎间隙高度的影响

Effect of radiofrequency of cervical disc combined with low-dose collagenase on the height of intervertebral space

摘要:

目的:比较和分析盘内射频联合小剂量胶原酶溶解术与单纯盘内胶原酶溶解术对颈椎间隙高度的影响。方法:回顾性分析盘内射频联合小剂量胶原酶溶解术治疗组45例与单纯盘内胶原酶溶解术治疗组46例颈椎间盘突出症患者的临床资料,比较两组术前与术后3月病变椎间隙高度变化情况。结果: 与术前比较,两组术后3月病变椎间隙前缘、后缘和中点高度均降低,差异有统计学意义(P<0.01)；两组间比较,盘内射频联合小剂量胶原酶溶解术治疗组椎间隙前缘、后缘和中点高度降低数均较单纯盘内胶原酶溶解术治疗组小,其间有统计学差异(P<0.01)。结论: 盘内射频联合小剂量胶原酶溶解术与单纯盘内胶原酶溶解术均可致术后颈椎间隙高度下降,但盘内射频联合小剂量胶原酶溶解术后颈椎间隙高度下降较少。

Abstract:

Objective: To compare and analyze the effect of intraplate radiofrequency combined with low-dose collagenase lysis and simple intraplate collagenase on the height of cervical intervertebral space. Methods: The clinical data of 45 patients with cervical disc herniation treated with radiofrequency combined with low-dose collagenase lysis and 46 patients with cervical disc herniation were retrospectively analyzed. The height of the lesion intervertebral space changes of the preoperative and postoperative 3 months were compared between the two groups. Results: Compared with preoperative, the heights of the leading edge, posterior margin and midpoint of the intervertebral space of the two groups were decreased at 3 months after operation (P<0.01). The intradural radiofrequency combined with small dose was compared between the two groups. The reduction of the leading edge, the trailing edge and the midpoint of the intervertebral space in the collagenase-dissolving group was smaller than that in the intra-dissection collagenase-dissolving group, and there was a statistical difference (P<0.01). Conclusion: Intradural radiofrequency combined with low-dose collagenase and simple intraplate collagenase can cause postoperative cervical intervertebral space height drop, but the intracavitary radiofrequency combined with low-dose collagenase dissolution has less cervical intervertebral space height.