C臂机引导下经皮“J”形微骨锉联合低温等离子靶点消融术治疗腰椎椎管狭窄症的临床研究

doi:10.3969/j.issn.1006-6233.2025.11.026

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摘要 目的: 观察C臂机引导下经皮“J”形微骨锉联合低温等离子靶点消融术治疗腰椎椎管狭窄症的临床疗效。方法: 选取2023年7月至2024年6月于淮安市第一人民医院就诊的腰椎椎管狭窄症患者150例。采用随机数字表简单随机分为研究组(“J”形微骨锉联合低温等离子靶点消融术治疗组,75例)和对照组(“J”形微骨锉治疗组,75例)。比较两组VAS评分、腰椎活动度、ODI评分、JOA评分及治疗前后差值,以及两组治疗的有效性和安全性。结果: 治疗后,两组VAS评分、ODI评分较治疗前均降低(P<0.05),且研究组的VAS评分、ODI评分降低幅度较对照组更大(P<0.05);两组腰椎后伸、腰椎前屈度数及JOA评分较治疗前均升高(P<0.05),且研究组的腰椎后伸、腰椎前屈度数及JOA评分升高幅度较对照组更大(P<0.05)。总有效率对比,研究组为93.33%,对照组为86.67%,差异无统计学意义(P>0.05)。两组患者均无任何不良反应发生。结论: C臂机引导下经皮“J”形微骨锉联合低温等离子靶点消融术治疗腰椎椎管狭窄症疗效确切,安全性高,在缓解疼痛、提高腰椎活动度以及改善腰椎功能方面有明显优势。

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	单东
	高尚明
	王云龙
	马千里

关键词 ：腰椎椎管狭窄症, “J”形微骨锉, 低温等离子靶点消融术

Abstract：Objective: To observe the clinical efficacy of percutaneous J-shaped micro bone file combined with low-temperature plasma target ablation guided by C-arm machine in the treatment of lumbar spinal stenosis. Methods: Totally 150 patients with lumbar spinal stenosis who received treatment at the First People's Hospital of Huai'an from July 2023 to June 2024 were selected. Randomly divided using a table of random numbers, the patients were divided into a research group (treatment group with J-shaped micro bone file combined with low-temperature plasma target ablation, 75cases) and a control group (treatment group with J-shaped micro bone file, 75cases). The two groups were compared in terms of VAS scores, lumbar range of motion, ODI scores, JOA scores, and the pre- and post-treatment differences, as well as the effectiveness and safety of the two treatments. Results: After treatment, the VAS scores and ODI scores of both groups were significantly lower than those before treatment (P < 0.05), and the research group had a greater reduction in VAS and ODI scores than the control group (P < 0.05). The lumbar extension, lumbar flexion degrees and JOA scores of both groups were significantly higher than those before treatment (P < 0.05), and the increases in lumbar extension, lumbar flexion, and JOA scores were greater in the study group than in the control group (P<0.05). Comparison of the overall effective rate shows the effective rate of 93.33% in the research group and 86.67% in the control group, with no statistically significant difference(P＞0.05). No adverse reactions occurred in either group. Conclusion: Under the guidance of C-arm machine, percutaneous J-shaped micro bone file combined with low-temperature plasma target ablation is effective and safe in treating lumbar spinal stenosis, they have significant advantages in relieving pain, improving lumbar spine mobility, and enhancing lumbar spine function.

Key words： Lumbar spinal stenosis J-shaped micro bone file Low temperature plasma target ablation

基金资助:2019年高层次卫生人才“六个一工程”拔尖人才科研项目和全省人事人才管理课题,(编号:LGY2019036)

引用本文:

单东, 高尚明, 王云龙, 马千里. C臂机引导下经皮“J”形微骨锉联合低温等离子靶点消融术治疗腰椎椎管狭窄症的临床研究[J]. 河北医学, 2025, 31(11): 1913-1918.
SHAN Dong, GAO Shangming, WANG Yunlong, et al. Clinical Study on the Treatment of Lumbar Spinal Stenosis with Percutaneous J-Shaped Micro Bone File Combined with Low-Temperature Plasma Target Ablation Guided by C-Arm Machine. HeBei Med, 2025, 31(11): 1913-1918.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2025.11.026 或 http://www.hbyxzzs.cn/CN/Y2025/V31/I11/1913

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