CT引导下臭氧治疗腰椎间盘突出症  

CT-guided Ozone Injection for Lumbar Intervertebral Disc Protrusion

作　　者：张智材[1] 李金德[1] 罗海滨[1] 顾立阳[1] 

机构地区：[1]兰州市第二人民医院骨科,兰州730000

出　　处：《中国微创外科杂志》2010年第9期802-804,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腰椎间盘突出症保守治疗效果不佳者行臭氧髓核消融术治疗的疗效。方法 2006年12月～2008年12月对73例腰椎间盘突出症行椎间盘穿刺臭氧髓核消融治疗,CT引导下行腰椎间盘穿刺注射60μg/ml臭氧7～30ml治疗,分别在治疗后3、6、12个月对患者进行疗效评估。结果出现头晕2例、腹胀1例、双下肢无力1例,并发症发生率5.5%(4/73),经对症治疗均康复。按MacNab评价标准,治疗后3个月显效29例(39.7%),有效35例(48.0%),无效9例(12.3%);12个月显效32例(43.8%),有效33例(45.3%),无效8例(10.9%)。结论对腰椎间盘突出症保守治疗效果不佳的患者行臭氧髓核消融术是一种有效的治疗方法。Objective To observe the curative effect of ozone injection under the guidance by CT in the treatment of lumbar intervertebral disc protrusion（LIDP）.Methods From December 2006 to December 2008,totally 73 cases of LIDP that failed expectant treatment were selected to receive injection of ozone（60 μg/ml,7-30 ml）into the intervertebral disc.The outcomes of the treatment was evaluated at 3,6,and 12 months after the injection.Results Totally 4 patients（5.5%）developed complications including dizziness（2 cases）,abdominal distention（1 case）,and lower extremities acratia（1 case）.All the complications were cured after conservative treatment.At 3 months,29 patients（39.7%）were markedly improved,35 patients（48.0%）were improved,and 9 patients（12.3%）were not improved.Excellent outcomes were achieved in 32 patients（43.8 %）at 12 months,good in 33 patients（45.3%）,and failed in 8 cases（10.9%）.Conclusions CT-guided injection of ozone is an effective treatment for patients with LIDP who failed in conservative therapies.

关 键 词：CT引导 臭氧 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]