[1]翟亚业,秦晓彬,孟祥翔,等.腰椎间盘突出症经皮椎间孔镜术后类固醇激素的应用对比:硬膜外给药与静脉给药[J].中国临床神经外科杂志,2022,27(06):486-488.[doi:10.13798/j.issn.1009-153X.2022.06.018]
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腰椎间盘突出症经皮椎间孔镜术后类固醇激素的应用对比:硬膜外给药与静脉给药()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年06期
页码:
486-488
栏目:
经验介绍
出版日期:
2022-06-30

文章信息/Info

文章编号:
1009-153X(2022)06-0486-03
作者:
翟亚业秦晓彬孟祥翔张超远
473009 河南,南阳市中心医院骨三科(翟亚业、秦晓彬、孟祥翔、张超远)
关键词:
腰椎间盘突出症经皮椎间孔镜技术类固醇激素硬膜外给药静脉给药
分类号:
R681.5+7
DOI:
10.13798/j.issn.1009-153X.2022.06.018
文献标志码:
B
摘要:
目的 探讨腰椎间盘突出症(LDH)经皮椎间孔镜术(PETD)后类固醇激素的应用方法及其效果。方法 回顾性分析2017年1月至2020年5月采用PETD治疗的87例LDH的临床资料。术后硬膜外注射类固醇激素45例(硬膜外组),静脉滴注类固醇激素42例(静脉组)。术前、术后1周、术后1个月、术后3个月、末次随访时,采用疼痛视觉模拟量表(VAS)评分及Oswestry 功能障碍指数(ODI)评估疗效。末次随访时,采用改良Macnab分级标准评定优良率。结果 两组术后腰腿痛VAS评分及ODI均明显改善(P<0.05)。术后1周,硬膜外组腰腿痛VAS评分及ODI均明显优于静脉(P<0.05),但两组术后1个月、3个月及末次随访时腰腿痛VAS评分及ODI均无明显差异(P>0.05。末次随访时,硬膜外组优良率(91.11%)与静脉组(88.10%)无统计学差异(P>0.05)。结论 LDH病人PETD后应用类固醇激素,可缓解疼痛;与静脉给药相比,硬膜外注射更有利于术后早期疼痛缓解。

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备注/Memo

备注/Memo:
(2021-09-11收稿,2021-11-07修回)
更新日期/Last Update: 2022-07-31