射频靶点热凝联合臭氧消融治疗腰椎间盘突出症173例疗效观察  

Curative Effect of Radiofrequency Thermocoagulation Combined with Ozone Chemonucleolysis on Lumbar Disc Herniation

作　　者：曹仁俊[1] 颜娜[1] 杨志彩[1] 

机构地区：[1]山东省青州荣军医院康复医学科,山东青州262500

出　　处：《中国伤残医学》2012年第9期17-18,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察射频靶点热凝联合臭氧消融术治疗腰椎间盘突出症的临床疗效。方法:173例腰椎间盘突出症患者,在CT引导下,行突出髓核射频热凝治疗,然后向椎间盘内注射臭氧。采用视觉模拟评分法(VAS)和改良Macnab评价法评价疗效。结果:术后1天、1周、1个月、3个月VAS评分值均明显低于术前,差异有统计学意义(P<0.001);术后3个月疗效评定,优良率93.06%,总有效率98.27%,无1例出现严重并发症。结论:射频靶点热凝联合臭氧消融治疗腰椎间盘突出症疗效确切,安全性好,值得临床推广。Objective： To observe the curative effect of radiofrequency thermocoagulation combined with chemonucleolysis on lumbar disc herniation . Methods： Total 173 cases suffered lumbar disc herniation , were treated with radiofrequency themlocoagulation of the herniated disk material under the guidance of CT, and received intradiscal injection of an oxygen-ozone mixture. The effects were assessed with visual analoque scale （VAS） and Macnab＇s evaluating method. Results： At 1 days, 1 weeks,1 months,3 months after treatment, the VAS scale were lower than before operating（P 〈 0.00l ）. Curative effect evaluation at 3 months, excellent and good rate was 93.06%,and total effective rate was 98. 27% . No severe complications occured during the follow up. Conclusions： The method of radiofrequency thennocoagulation combined with ozone chemonucleolysis proves to be significant, safe and worthwhile to be widely used in clinical treatment of lumbar disc herniation.

关 键 词：射频 热凝固术 臭氧 化学髓核溶解术 腰椎间盘突出症 

分 类 号：R681[医药卫生—骨科学]