中国医学装备2025，Vol.22Issue(3)：68-72,5.DOI:10.3969/j.issn.1672-8270.2025.03.013
X射线引导下硬膜外靶向阻滞联合针刀治疗腰椎间盘突出症研究
Clinical study of targeted epidural space block combined with acupotomy in the treatment of lumbar disc herniation under X-ray guidance
摘要
Abstract
Objective:To explore the clinical efficacy of targeted epidural space block combined with acupotomy in the treatment for lumbar disc herniation(LDH)under the monitor of X-ray image,and to analyze the safety of its operation.Methods:A total of 60 LDH patients who admitted to Department of Pain,Jiangyin Affiliated Hospital of Nanjing University of Chinese Medicine from January 2022 to September 2023 were selected,and they were randomly divided into observation group and control group as random number table,with 30 cases in each group.The observation group adopted targeted epidural space block combined with acupotomy under monitor with X-ray for anterior epidural space,while the control group adopted conventionally epidural block,all of which were treated only once.The Visual Analogue Scale(VAS)scores and Oswestry Disability Index(ODI)scores of two groups before treatment and at the 3rd day,7th day and 30th day after treatment were compared.At the 30th day after treatment,the curative effects of two groups were evaluated according to ODI scores,at the same time,the safe distance between puncture and acupotomy in patients of observation group was analyzed.Results:The effective rates of the treatment of observation group and control group were respectively 96.67%and 70%,and the difference of that between the two groups was statistically significant(x2=7.680,P<0.05).The VAS scores of the two groups at the 3rd day,7th day and 30th day after treatment were lower than those before treatment,and the observation group(2.30±0.87),(1.53±0.86)and(1.47±0.81)were lower than the control group(4.43±0.89),(2.23±0.89)and(4.27±0.82),the difference was statistically significant(t=9.374,3.098,13.306,P<0.05).The ODI scores of the two groups were at the 3rd day,7th day and 30th day after treatment were lower than those before treatment,and the differences of them between two groups were statistically significant(t=7.112,10.690,10.151,P<0.05).In 30 patients of observation group,the gap between the dural sac and the inner edge of facet joint on the affected side was larger than 4.0mm in 25 cases,and all of them can safely conduct puncture with targeting.Conclusion:The targeted epidural space block combined with acupotomy by adopting monitor with X-ray image can effectively improve the symptom of pain,and activities of daily life of LDH patients,which treatment is safe and effective.关键词
腰椎间盘突出症(LDH)/硬膜外前间隙靶向阻滞/针刀/X射线引导/安全性分析Key words
Lumbar disc herniation/Anterior epidural space targeted block/Acupotomy/X-ray guidance/Safety analysis分类
特种医学引用本文复制引用
张嬴政,王亚东,邓小月,蔡璐,王维珍,杨秋霞,孙亚芳,刘菲菲..X射线引导下硬膜外靶向阻滞联合针刀治疗腰椎间盘突出症研究[J].中国医学装备,2025,22(3):68-72,5.基金项目
江苏省卫生健康委科研项目(M202152) Scientific research project of Jiangsu Provincial Health Commission(M202152) （M202152）
