透過您的圖書館登入
IP:18.222.67.251
  • 期刊

經皮神經燒灼術治療腰椎小關節面症候群導致之下背痛

Percutaneous Radiofrequency Thermocoagulation Denervation in the Treatment of Lumbar Facet Joint Syndrome Induced Low Back Pain

摘要


許多人長期深受下背痛所苦,而有部分是以腰椎小關節面症候群爲其發病的原因,其論斷的依據除了包括臨床上的理學檢查,還要加上影像學,如X光、電腦斷層或磁振造影,甚至核子醫學的檢查,才能做一個較精確的論斷。除此之外腰椎小關節面局部注射神經阻斷藥物,能進一步確定診斷並減少併發症的産生。因此臨床上,評估病患者術後恢複情形以及術前病患之篩遷相當重要,可作爲治療重要之指標。本報告爲三軍總醫院神經外科自90年1月起至90年7月,針對腰椎小開節面發炎導致之下背痛的116位病患施行經皮神經燒灼手術,追蹤治療效果並參考相關文獻。

並列摘要


The lumbar facet joint has long been considered a significant source of low back pain (LBP). A common method for diagnosing lumbar pain are diagnostic blocks where an anesthetizing agent is injected to determine if pain is relieved. Facet blocks with anesthetic and cortisone, and even facet denervation procedures, have been recommended as treatment for patients with LBP. So the evaluation of outcome and patient selection are important in the treatment of low back pain. We present clinical experiences on 116 patients with lumbar facet joint syndrome and review the relevant literature.

延伸閱讀