【摘 要】
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目的 探讨老年性腰椎间盘突出症的临床特点和低温等离子髓核消融术的治疗效果.方法 对160例年龄在60岁～ 82岁经MRI检查和临床表现确诊的腰椎间盘突出症患者采用经皮低温等离子髓核消融术治疗,并且运用视觉模拟评分法(VAS)和Macnab评分法对其疗效进行观察分析.结果 本组全部患者经3个月～ 18个月的随访,平均10个月.160例患者症状有不同程度改善,总有效率为86.25％.术前VAS评分平均
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目的 探讨老年性腰椎间盘突出症的临床特点和低温等离子髓核消融术的治疗效果.方法 对160例年龄在60岁～ 82岁经MRI检查和临床表现确诊的腰椎间盘突出症患者采用经皮低温等离子髓核消融术治疗,并且运用视觉模拟评分法(VAS)和Macnab评分法对其疗效进行观察分析.结果 本组全部患者经3个月～ 18个月的随访,平均10个月.160例患者症状有不同程度改善,总有效率为86.25％.术前VAS评分平均为(6.11±0.32)分,术后随访3个月～18个月的VAS评分平均为(1.71±0.52)分.据改良Macnab疗效评定标准,105例治疗效果为优,15例良,18例可,22例差,有效86.25％.无一例出现严重并发症.结论 在严格掌握其适应证的情况下,等离子髓核消融术具有操作简单、安全、创伤小、近期疗效优的特点,是一种有效的治疗老年腰椎间盘突出症的微创介入手术.
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