脊神經(jīng)脈沖射頻聯(lián)合椎間盤內(nèi)射頻熱凝治療腰椎間盤突出癥的臨床效果

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[Abstract] Objective： To evaluate the clinical eficacy of spinal nerve pulse radiofrequency combined with intervertebral discradiofrequency thermocoagulation in the treatment of lumbardisc herniation.Method：A retrospective analysis was conducted on 6O cases of lumbar disc herniation treated at Guizhou Hospital， Beijing JishuitanHospitalfrom May2023toMay 2O24.Thepatients weredivided intoacontrol groupof3Ocases （treated with intervertebral discradiofrequency thermocoagulation）and an observation group of 3O cases （treated with spinal nerve pulse radiofrequency combined with intervertebral disc radiofrequency thermocoagulation）.The clinical efficacy，lumbar spine function，pain level，serum factors，and complications between two groups were compared. Result： The total effective rate of the observation group was higher than that of the control group （ P <0.05）. Six months after the treatment，the Japanese Orthopaedic Association （JOA） scores of the lumbar spine in both groups increased， while the VAS scores decreased，the observation group showed more significant changes （ P <0.05）; the levelsof IL-4and IL-1Oinboth groups were higher than thosebefore treatment，whilethe levels oftransforming growth factor -{β1（TGF-{β1） in both groups were lower than those before treatment， the changes in the observation group were more significant（ P <0.05）.There was no statistically significant difference in the incidence of complications between the two groups （P>O.o5）. Conclusion： The combination of spinal nerve pulse radiofrequency andintervertebraldiscradiofrequencythermocoagulationhasagoodefect inthetreatmentof lumbardisc herniation， which can effectively relieve pain，improve lumbar function，regulate serum factors，and will not increase the occurrence of complications， the treatment safetyis relatively good.

腰椎間盤突出癥是臨床常見骨科疾病，具有難根治、易反復(fù)等特征，以腰腿疼痛、日?；顒诱系K等為主要表現(xiàn)，限制患者日?；顒幽芰Γ瑖?yán)重影響其生活質(zhì)量，及早診斷、治療是改善控制病情的重點所在[]。（剩余5852字）