CT引导下微创臭氧治疗腰椎间盘突出症  

CT guided O3 injection for the treatment of lumbar disc herniation

作　　者：段文帅[1] 张平[1] 杜敬仙[1] 喻国云[1] 张承志[1] 

机构地区：[1]大理学院附属医院,云南大理671000

出　　处：《大理学院学报（综合版）》2007年第8期45-48,共4页Journal of Dali University

摘　　要：目的:探讨CT引导下臭氧注射治疗腰椎间盘突出的价值。方法:120例患者中腰椎间盘突出75例、腰椎间盘膨出45例,于CT引导下穿刺行臭氧注射治疗。穿刺途径:腰椎间盘突出为旁中央型者,经神经根与硬膜囊之间或神经根与小关节之间穿刺突出物达盘内;腰椎间盘膨出或后正中突出者则取脊柱中线旁开6～10cm侧后方穿刺。分别于盘内及突出物中央和盘外注射浓度为40～60μg/ml臭氧5～15ml,总量小于30ml。结果:注射臭氧后CT扫描显示臭氧在间盘内分布呈:裂隙状、髓核腔内积聚状、弥散分布状及大部分溢出盘外状。治疗后6～12个月随访显效75例(62.5%),有效37例(30.8%)和无效8例(6.7%),总有效93%。结论:CT引导下盘内、突出物及盘外臭氧注射术穿刺准确、可及时观察臭氧分布及注射后间盘的改变。其安全、创伤小、疗效高,是腰椎间盘突出症的理想治疗方法。Objective： To explore the value of CT guided Oa injection in the treatment of lumbar disc herniation. Methods： 75 patients with lumbar spinal disc herniation and 45 patients with spinal disc expansion were treated by ozone injection with the guide of CT. When the herniation is at the side of spinal disc center, the needle was punctured between nerve root and dural sac or between nerve root and little joint. When the patient was due back herniation or expansi-on of lumbar spinal disc, the needle was punctured from the 6-10cm sideway middle line of back. All the patients were injected with 5-15ml ozone （40-60μg/ml） into the disc or the herniation center. The total ozone is less than 30ml. Results： After injection of ozone the ozone was distributed as localized shape, cranny shape and dispersion shape. 6-12 months after treatment, the excellent, good and poor clinical efficacy was75cases （62.5%）, 37 cases （30.8%）, and 8 cases （6.7%） Respectively, with a total of 93%. Conclusion： With CT guided, the puncturing and ozone injection are acurate. After the treatment we can observe the transformation of pathologic changes. With safety, little wound and good curative effect, it is the ideal treatment of lumbar spinal disc herniation.

关 键 词：腰椎间盘突出症 臭氧 CT 穿刺 

分 类 号：R681.53[医药卫生—骨科学]