经皮穿刺椎间盘联合骶管穿刺臭氧注射治疗腰椎间盘突出症67例临床分析  

Clinical Analysis of 67 Cases of Lumbar Disc Herniation Treating with the Ozone Injection Through Percutaneous Disc Joint Caudal Puncture

作　　者：薛洪旺[1] 

机构地区：[1]江苏省淮安市中医院放射科,淮安223001

出　　处：《中国医药导刊》2013年第2期240-241,243,共3页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨腰椎间盘突出症经皮穿刺椎间盘联合骶管穿刺臭氧注射治疗的临床治疗效果以及安全性。方法：67例经CT和/或MRI证实的腰椎间盘突出症患者,在螺旋CT或数字胃肠引导下,用21G多侧孔穿刺针穿刺病变椎间盘内及椎间孔周围,椎间盘内注射浓度为50μg/ml的臭氧气体5~10ml,后向椎间孔周围椎旁组织注入浓度为30μg/ml的臭氧20ml,并于术后3天、10天经骶管注入30μg/ml臭氧30ml。结果：67例患者随访1~9个月,显效47例,有效15例,差5例,总有效率92.54%。大多数患者在术后0.5~1个月症状基本消失,且所有患者在治疗过程中均未有严重并发症发生。结论：腰椎间盘突出症经皮穿刺椎间盘联合骶管注射医用臭氧治疗是一种安全有效且对患者而言较为经济的微创疗法,能够达到满意的治疗效果。Objective：To investigate the clinical therapeutic effect and safety of the treatment that percutaneous intervertebral disc combined with sacral canal puncture ozone injection to cure lumbar disc herniation.Methods：67 patients confirmed by CT and/or MRI with lumbar disc herniation,in spiral CT or digital gastrointestinal guided,by 21G multiple side hole puncture needle aspiration lesions of intervertebral disc and intervertebral foramen,intradiscal injection of the concentration of ozone gas 5~10ml 50 μ g/ml,posterior to the intervertebral foramen tissues injected 30μg/ml ozone 20ml,and Through sacral canal injection of 30 μ g/ml ozone 30ml after 3 days,10days.Results：Of the 67 patients were followed up for 1~9months,47 cases were markedly effective,effective in 15 cases,and poor in 5 cases,the total efficiency is 92.54%.The majority of patients after 0.5 to 1 months of symptoms disappeared,and all patients had no serious complications during treatment.Conclusion：Lumbar disc herniation percutaneous intervertebral disc combined with sacral canal injection of medical ozone therapy is a safe and effective and more economic minimally invasive therapy for patients,can achieve satisfactory therapeutic effect.

关 键 词：医用臭氧 骶管 腰椎间盘突出症 髓核 神经根 疗效分析 

分 类 号：R681.53[医药卫生—骨科学]