腰椎MRI pfriiman分级与腰椎间盘突出症患者经皮低温等离子射频消融术治疗疗效的相关性分析

刘东 李京霞 刘翔 焦世华 李远东 郑红

【摘要】目的：探討腰椎MRI pfriiman分级与腰椎间盘突出症患者经皮低温等离子射频消融术治疗疗效的相关性。方法：回顾性分析2017年3月至2019年3月在本院进行经皮低温等离子射频消融术的65例腰椎间盘突出症患者的临床资料，根据患者术前MRI检查结果分为Pfirrmann III级组（n=33）与Pfirrmann IV级组（n=32），两组患者均采用经皮低温等离子射频消融术，比较两组患者术后7 d、3个月、1年的疗效。结果：Pfirrmann III级组患者术后7d、3个月、1年优良率分别为84.85%、81.82%、75.76%；Pfirrmann IV级组分别为71.88%、68.75%、46.88%，Pfirrmann III级组术后1年的优良率高于Pfirrmann IV级组（P<0.05）。结论：MRI pfriiman分级与经皮低温等离子射频消融术后腰椎间盘突出症患者的近期疗效无关，但与经皮低温等离子射频消融术患者的远期疗效之间密切相关。

【关键词】MRI pfriiman；腰椎；相关性

[中图分类号]R681.53 [文献标识码]A [文章编号]2096-5249（2021）05-0134-02

Correlation between the classification of lumbar MRI pfriiman and the therapeutic effect of percutaneous temperature-controlled ablation radiofrequency in patients with protrusion of lumbar intervertebral disc

LIU Dong， LI Jing-xia， LIU Xiang， JIAO Shi-hua， LI Yuan-dong， ZHENG Hong （Department of Pain， Second People’s Hospital of Chengdu， Chengdu Sichuan 610000， China）

[Abstract] Objective： To explore the correlation between the classification of lumbar MRI pfriiman and the therapeutic effect of percutaneous temperaturecontrolled ablation radiofrequency in patients with protrusion of lumbar intervertebral disc. Method： The clinical data of 65 patients with protrusion of lumbar intervertebral disc who underwent percutaneous hypothermic plasma radiofrequency ablation in our hospital from March 2017 to March 2019 were retrospectively analyzed. According to the results of preoperative MRI examinations， patients were divided into Pfirrmann III group （n=33） and Pfirrmann IV group （n=32）. The patients in both groups were treated with percutaneous hypothermic plasma radiofrequency ablation， and the efficacy of patients between the two groups 7 days， 3 months and 1 year after surgery was compared. Results： The excellent and good rates of patients 7 days， 3 months and 1 year after surgery in the Pfirrmann III group were 84.85%， 81.82%， and 75.76%. The excellent and good rates of patients 7 days， 3 months and 1 year after surgery in the Pfirrmann IVwere 71.88%， 68.75%， and 46.88%， and the excellent and good rate in Pfirrmann III group was higher than that of Pfirrmann IV group （P<0.05）. Conclusion： The MRI pfriiman classification is not related to the short-term efficacy of percutaneous hypothermia radiofrequency ablation in patients with protrusion of lumbar intervertebral disc， but is closely related to the long-term efficacy of patients with percutaneous hypothermia radiofrequency ablation.

[Key words] MRI pfriiman； Lumbar vertebra； Correlation

腰椎间盘突出症是由于腰椎间盘出现了不同程度的退行性改变所引起，造成髓核组织突出，继而压迫神经根，导致患者出现腰痛、下肢麻木的现象[1]。该病主要好发于30～50岁人群，且男性发病率较高于女性[2]。腰椎间盘突出症作为疼痛科、骨科中的常见疾病，多发生于L4～L5间，而据统计在臀裂的上端即L5～S1间是为腰椎间盘突出症发病率最高的部位，其发病率可高达90%左右。近年来，随着微创介入治疗的发展，越来越多患有腰椎间盘突出症的患者选择经皮穿刺低温等离子射频消融术进行治疗，而临床上常采用腰椎MRI pfriiman分级对腰椎间盘突出症患者进行术前评估。因此，旨在探讨腰椎MRI pfriiman分级与腰椎间盘突出症患者经皮低温等离子射频消融术治疗疗效的相关性，回顾性分析了在本院进行经皮低温等离子射频消融术的65例腰椎间盘突出症患者的临床资料，现分析结果报道如下。……