脊神经脉冲射频联合椎间盘内射频热凝治疗腰椎间盘突出症的临床效果

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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.

腰椎间盘突出症是临床常见骨科疾病，具有难根治、易反复等特征，以腰腿疼痛、日常活动障碍等为主要表现，限制患者日常活动能力，严重影响其生活质量，及早诊断、治疗是改善控制病情的重点所在[]。（剩余5852字）