髓核造影在腰突症微创治疗中的应用  

Application of Nucleography in the Microinjury Treatment of Lumbar Disc Herniation

作　　者：王炳良 耿玉强[2] 孙伟[3] 乔乃春[3] 陈来荣[3] 

机构地区：[1]江苏省连云港市东海仁慈医院放射科,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14期70-73,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选择腰椎间盘突出症微创治疗方式的价值。方法对102例腰椎间盘突出患者在微创治疗前首先进行髓核造影,然后根据髓核造影情况选择适当的微创治疗方法(37例施行了经皮椎间盘摘除+臭氧注射治疗;22例施行了胶原酶髓核溶解术+臭氧注射治疗;7例施行了经皮椎间盘摘除+胶原酶髓核溶解术;17例单纯施行了经皮椎间盘摘除术;13例单纯施行了臭氧注射治疗;5例单纯施行了胶原酶髓核溶解术;1例施行了经皮椎间盘摘除+臭氧注射治疗+胶原酶髓核溶解术)。结果 所有102例患者均成功地进行了髓核造影检查及微创治疗。术后6～12个月的随访观察表明,治疗的总有效率为97.1%,其中显效率86.3%(88/102),有效率10.8%(11/102)。临床效果满意,无严重并发症发生。结论髓核造影对于选择不同的微创治疗方法治疗腰间盘突出症,具有重要的临床应用价值。Objective To investigate the value of the nucleography in the selectivity of microinjury therapeutic method of the lumbar disc herniation.Methods 102 patients with lumbar disc herniation underwent lumbar nucleography before the microinjury treatment.Radiographys after nucleography were analyzed,then different microinjury therapeutic methods were choosed（37 treated by percutaneous diskectomy combined with ozone injection;22 treated by combined injection of collagenase and ozone;7 treated by percutaneous diskectomy associated with collagenase chemolysis;17 treated by percutaneous lumbar diskectomy;13 patients were injected ozone;5 treated by collagenase chemolysis;1 treated by percutaneous diskectomy combined injection of collagenase and ozone）.Results The successful rate of nucleography and microinjury therapy was 100%.Observation after 6～12 months of therapy showed that the cure rate and effective rate were 86.3%（88/102） and 10.8%（11/102） respectively.The overall excellent rate was 97.1%.The results of therapy were satisfied.No serious complications occurred in this group.Conclusions The Nucleography has very important value in selecting microinjury therapeutic method of the lumbar disc herniation

关 键 词：髓核造影 腰椎间盘突出 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]