腰椎神经射频治疗老年退行性腰椎滑脱伴椎管狭窄的临床疗效

Clinical efficacy of lumbar nerve radiofrequency for the treatment of degenerative lumbar spondylolisthesis with spinal stenosis in elderly patients

摘要:

摘要 目的：评估腰椎神经射频治疗老年退行性腰椎滑脱（degenerative lumbar spondylolisthesis, DLS）伴椎管狭窄（lumbar spinal stenosis，LSS）的短期临床疗效。方法：回顾性分析2014年9月至2019年12月因DLS伴LSS接受腰椎背根神经节脉冲射频联合脊神经后支内侧支射频热凝治疗的老年病人临床资料，比较不同时间点NRS评分、ODI评分和改良Macnab评分。结果：共纳入55名病人，术后各时间点NRS评分、ODI评分均较术前降低（P<0.05）；与术后1月相比，术后6月NRS评分和ODI评分升高（P<0.05）；术后1、3和6月的优良率分别为74.5%、70.9%和65.5%。结论：针对性腰椎神经射频可降低老年DLS伴LSS病人疼痛程度，改善日常功能障碍，短期临床疗效较好。

Abstract:

Abstract Objective: To investigate the short-term clinical efficacy of lumbar nerve radiofrequency in the treatment of degenerative lumbar spondylolisthesis (DLS) with lumbar spinal stenosis(LSS) for elderly patients. Methods: Retrospective analysis of medical data of old patients admitted for DLS with LSS and received lumbar dorsal root ganglion pulsed radiofrequency combined with lumbar dorsal medial branch radiofrequency ablation from September 2014 to December 2019. The score of numeric rating scale (NRS), Oswestry disability idex (ODI) and modified Macnab criteria were compared at different time points. Results: A total of 55 patients were enrolled. Compared with pre-operation, NRS score and ODI score decreased significantly at all time points after surgery. Compared with 1 month after surgery, the NRS score and ODI score increased significantly at 6 month after surgery.The fine rate (excellent and good rates) of 1 month, 3 month and 6 month after operation was 74.5%、70.9% and 65.5% respectively. Conclusion: Targeted lumbar nerve radiofrequency could relieve pain，improve daily functioning and have a good short-term clinical efficacy in elderly patients with DLS combined with LSS.