破裂型腰椎间盘突出的髓核造影诊断及微创治疗  

The discography diagnosis and minimally invasive treatment of ruptured lumbar disc herniation

作　　者：王炳良 耿玉强[2] 乔乃春[3] 陈来荣[3] 孙伟[3] 

机构地区：[1]江苏省连云港市东海仁慈医院影像科,江苏222300 [2]江苏省连云港市东方医院骨科 [3]江苏省连云港市东方医院放射科

出　　处：《当代医学》2011年第5期6-9,共4页Contemporary Medicine

基　　金：连云港市指令性科研项目;项目编号09018

摘　　要：目的探讨髓核造影对破裂型腰椎间盘突出的诊断价值及微创治疗的疗效。方法对102例椎间盘突出患者在微创治疗前首先进行髓核造影,根据髓核造影情况选择适当的微创治疗方法(32例患者施行了经皮椎间盘摘除术+臭氧注射治疗;22例施行了经皮椎间盘摘除术+胶原酶髓核溶解术;36例施行了臭氧注射+胶原酶髓核溶解术;12例患者单纯施行臭氧注射)。结果所有102例患者均成功地进行了髓核造影检查及介入治疗。术后6～12个月的随访观察表明,治疗的总有效率为96.1%,其中显效率51.0%(52/102),有效率45.1%(46/102)。临床效果满意,无严重并发症发生。结论髓核造影对于明确破裂型腰椎间盘突出的诊断具有很高的敏感性,对于选择适当的微创治疗方法,具有重要的临床价值。Objective To investigate the diagnostic value of lumbar discography in the ruptured lumbar disc herniation and the effect of minimally invasive treatment. Methods One hundred and two cases with lumbar disc herniation underwent lumbar discography before the minimally invasive treatment. Radiographys after discography were analyzed, then different interventional therapeutic methods were chose （32 treated by percutaneous diskectomy combined with ozone injection; 22 treated by percutaneous diskectomy associated with collagenase chemolysis; 36 treated by combined injection of collagenase and ozone; 12 patients were injected ozone）. Results The successful rate of discography and interventional therapy was 100%. Observation after 6- 12 months of therapy showed that the cure rate and effective rate were 51.0%（52/102） and 45.1%（46/102） respectively. The overall excellent rate was 96.1%. The results of therapy were satisfied. No serious complications occurred in this group. Conclusions The Nucleography is very sensitive in the diagnosis of the ruptured lumbar disc herniation, it has very important value in selecting interventional therapeutic method of the ruptured lumbar disc herniation

关 键 词：腰椎间盘突出 椎间盘造影 经皮腰椎间盘摘除 胶原酶 臭氧 介入治疗 

分 类 号：R681.53[医药卫生—骨科学]