螺旋CT引导下经皮颈椎钩突前侧穿刺臭氧消融治疗椎间盘突出的价值  

Value of spiral CT guided puncture ozone ablation in treatment of cervical disc hernia

作　　者：朱亮旭 黄河[2] 邓治强 李洵[1] 余文毅 

机构地区：[1]四川省内江市中医医院放射科CT室,四川内江641000 [2]四川省内江市中医医院脊柱骨科,四川内江641000

出　　处：《医学影像学杂志》2011年第4期591-593,共3页Journal of Medical Imaging

摘　　要：目的:探讨螺旋CT引导下经皮颈椎钩突前缘穿刺椎间盘靶点臭氧注射治疗颈椎间盘突出的价值。方法:112例证实经CT或MRI检查诊断为颈椎间盘突出患者,在螺旋CT引导下行穿刺臭氧消融治疗。治疗方式为经皮从颈椎钩突前侧进针,穿刺深度达到椎间盘中心部位注入3～7ml臭氧,浓度为60%～70%ug/ml;然后退针至钩突前侧椎间盘边缘注入8～10ml臭氧,浓度为30%～40%ug/ml。结果:对112例患者术后随访6个月,并按照疗效评价标准对治疗效果进行评定:效果优48例(48/112,占42.9%),效果良57例(57/112,占50.9%),效果差7例(7/112,占6.2%),优良率93.8%。结论:螺旋CT引导下经皮颈椎钩突穿刺椎间盘注射臭氧消融术是治疗颈椎间盘突出的一种安全有效的微创方法。Objective：To evaluate the value of spiral CT guided puncture ozone ablation in treatment of cervical disc hernia.Methods：112 patients with CT or MRI confirmed cervical disc hernia were enrolled in our study,and were treated with CT guided puncture ozone ablation.The treatment schedules were as follows： a total dose of 3～7 ml ozone with the concentration of 60%～70% μg/ml was injected into the central of intervertebral disk by needle through the approach of percutaneous-cervical vertebra-anterior border of the uncinate process;when needle was withdrew boundary of intervertebral disk,another ozone was injected with dose of 8～10ml at concentration of 30%～40% μg/ml,respectively.Results：All patients were followed up for a period of 6 months.The evaluation of therapeutic effect was performed according to MacNab criterion.The therapeutic effects in terms of excellent,good and worse accounted for 42.9%（48/112）,50.9%（57/112） and 6.2%（7/112）,respectively.Conclusion：As a minimally invasive method,Spiral CT guided puncture ozone ablation through approach of percutaneous-cervical vertebra-anterior border of the uncinate process is effective and safe to treat patients with cervical disc hernia.

关 键 词：臭氧 穿刺 颈椎间盘突出 体层摄影术 X线计算机 

分 类 号：R681.5[医药卫生—骨科学] R814.42[医药卫生—外科学]