CT引导下经皮穿刺盘内注射臭氧联合神经根阻滞治疗腰椎间盘突出症  

Percutaneus intradiscal injection of ozone conbined with nerve soat block for treatment of lumbar disc protrusion

作　　者：吴文泽[1] 梅祖胜[2] 谭国卫[1] 刘四斌[1] 向燕萍[3] 

机构地区：[1]华中科技大学同济医学院附属荆州医院影像中心,湖北434020 [2]华中科技大学同济医学院附属荆州医院疼痛科,湖北434020 [3]华中科技大学同济医学院附属荆州医院体检中心,湖北434020

出　　处：《放射学实践》2011年第3期343-345,共3页Radiologic Practice

摘　　要：目的：探讨CT引导下经皮穿刺椎间盘内注射臭氧联合神经根阻滞治疗腰椎间盘突出症的临床应用。方法：对125例148个椎间盘在CT引导下经皮穿刺达病变的椎间盘,缓慢注射浓度为60μg/ml臭氧气体15~20 ml;退针至神经根附近,缓慢注射浓度为40μg/ml臭氧气体5~10 ml,再注入利多卡因、曲安奈德、注射用腺苷钴胺和维生素B1混合液3~5 ml。结果：对患者进行随访,疗效分为优、良、中和差,本组优良率达91%。结论：CT引导下经皮穿刺盘内注射臭氧联合神经根阻滞治疗腰椎间盘突出症是一种有效、安全的微创方法。Objective：To evaluate the therapeutic effect of percutaneous intradiscal injection of O3 combined with nerve root block in the treatment of lumbar disc protrusion.Methods：125 patients with lumbar disc protrusion（148 discs） were selected in this study.The percutaneous puncture was guided by CT.15~20ml medical ozone（60μg/ml） was injected into herniated disc spaces.After needle withdrawal,5~10ml medical ozone（40μg/ml） and 3~5ml mixture of lidocaine,triamcinolone acetonide cobamamide and vitamin B1 was injected to the area near nerve root.Results：By following up patients,efficacy was evaluated by four grades：excellent,good,general and bad.The excellent and good rate was 91%.Conclusion：The therapeutic method characterized by using percutaneous injection of ozone combined with nerve root block is a safe and effective method for the treatment of lumbar disc protrusion.

关 键 词：椎间盘 臭氧 体层摄影术 X线计算机 

分 类 号：R681.53[医药卫生—骨科学]