等离子髓核低温消融术结合三氧注射术治疗腰椎间盘突出症的疗效分析  

Efficacy of low-temperature plasma nucleus ablation with ozone injection for lumbar intervertebral disc herniation

作　　者：周玲君[1] 钱自亮[1] 顾晖[1] 张小雷[1] 全养雅[1] 李勇[1] 

机构地区：[1]湖南省第二人民医院疼痛科,410007

出　　处：《实用疼痛学杂志》2009年第2期89-93,共5页Pain Clinic Journal

摘　　要：目的应用等离子髓核低温消融术结合三氧注射术治疗腰椎间盘突出症与单纯三氧注射术治疗的疗效比较。方法对我院40例腰椎间盘突出症20例行等离子髓核低温消融加三氧注射术（A组），另20例采用单纯三氧注射术（B组），观察两组治疗效果、治疗后不同时间的VAS评分。结果A组治疗后的优良率为95％（19／20例），治疗前、后VAS评分有统计学差异（P〈0．05）；B组优良率为70％（14／20例），治疗后1个月两组间VAS评分有统计学差异（P〈0．05）。结论等离子髓核低温消融术结合三氧注射术比单纯三氧注射术治疗腰椎间盘突出症的疗效好。Objective To compare the efficacy between low-temperature plasma nucleus ablation acombined with ozone injection and simple injection of ozone for the treatment of lumbar intervertebral disc herniation. Methods Forty cases of lumbar intervertebral disc herniation were divided randomly into two groups, low-temperature plasma nucleus ablation acombined with ozone injection（group A, 20 cases） and pure ozone injection（group B, 20 cases）, respectively, The whole curative effect and visual analog scale （VAS） were evaluated. Results The cure rate was 95%（19/20 cases） in group A,70%（14/20 cases） In group B, and there have significant difference in VAS between pre and post treatment in group A（P〈 0. 05）. After 1 month postoperation, there have significant difference in VA-S between group A and B. Conclusion The low-temperature plasma nucleus ablation acombined with ozone injection for the treatment of lumbar intervertebral disc herniation has more advantages than the simple ozone injection.

关 键 词：腰椎间盘突出症 等离子 髓核切除术 经皮 导管消融术 经皮 低温 人工 臭氧 注射 

分 类 号：R681.53[医药卫生—骨科学] R644[医药卫生—外科学]