何亮亮 倪家骧 曹国庆 郭玉娜 杨立强

    [摘要] 目的 评价CT引导定位低温等离子纤维环成形术在颈椎盘源性颈肩痛中的临床疗效。 方法 选取2016年5月～2017年5月，首都医科大学宣武医院疼痛科颈椎盘源性颈肩痛患者16例，CT引导定位行低温等离子纤维环成形术。记录术前，术后1周和术后1、3、6个月的疼痛视觉模拟评分(VAS)；术后6个月依据Macnab标准评价疗效；记录不良反应发生情况。 结果 与术前比较，术后1周和1、3、6个月的VAS评分明显降低，差异有统计学意义(P 0.05)；术后依据Macnab标准评价疗效：优8例，良5例，可2例，差1例，优良率为81.2%；无不良反应发生。 结论 低温等离子纤维环成形术治疗颈椎盘源性颈肩痛安全有效，值得进一步推广。

    [关键词] 低温等离子；消融；纤维环成形术；颈椎盘源性颈肩疼痛

    [中图分类号] R681.53 [文献标识码] A [文章编号] 1673-7210(2018)10(a)-0103-04

    The effect of CT-guided low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain

    HE Liangliang NI Jiaxiang CAO Guoqing GUO Yu′na YANG Liqiang▲

    Department of Pain Management， Xuanwu Hospital， Capital Medical University， Beijing 100053， China

    [Abstract] Objective To evaluate the effect of CT-guided low temperature plasma fiber ring plasty in cervical discogenic neck and shoulder pain. Methods From May 2016 to May 2017， 16 patients suffering cervical discogenic neck and shoulder pain in Xuanwu Hospital， Capital Medical University were selected. The pain visual analogue scale (VAS) scores were recorded before surgery ......