CT引导下经硬膜囊外直接穿刺腰椎间盘突出注射臭氧治疗腰椎间盘突出症  

Percutaneous epidural puncture under CT guidance and ozone injection to treat the lumbar disc herniation

作　　者：王琨[1] 裴敏[1] 朱杰[1] 蔡维波[1] 李松[1] 王德杭[2] 

机构地区：[1]江苏省泗洪县人民医院影像科,江苏泗洪223900 [2]江苏省人民医院放射科,江苏南京350000

出　　处：《医学影像学杂志》2013年第10期1613-1615,共3页Journal of Medical Imaging

摘　　要：目的探讨CT引导下经硬膜囊外直接穿刺突出的椎间盘组织注射臭氧治疗腰椎间盘突出症的疗效。方法在CT扫描引导下,采用后入路穿刺,根据纤维环完整与否,于椎间盘内、盘外注射不同浓度臭氧。结果术后1周,28例中疗效优21例、良3例,优良率85.7%;术后1月,28例中疗效优23例、良2例,优良率89.2%;术后3月,28例中疗效优24例、良1例,优良率89.2%。纤维环完整、破裂优良率分别为94.7%(18/19)、55.5%(5/9)。结论经硬膜囊外CT引导下直接穿刺突出椎间盘组织注射臭氧治疗腰椎间盘突出,具有安全、有效、创伤小及定位准确、操作简单等特点,是腰椎间盘后方或侧后方突出理想的治疗手段。Objective To explore the curative effect of percutaneous epidural puncture under CT guidance and ozone injection in the treatment of lumbar disc herniation. Methods Adopting the approach to puncture through posterior route under CT guidance, according to the fibre ring completly or not, and injecting ozone of different concentrations both inside and outside of the intervertebral disc. Results After operation 1 week, the results were 21 excellent in 28 cases, 3 good, the excellent and good rate was 85.7%; 1 month postoperatively, 23 excellent in 28 cases, 2 good, the excellent and good rate was 89.2% ; 3 month postoperatively, 24 excellent in 28 cases, 1 good, the excellent and good rate was 89.2% ;the excellent and good rate of complete and ruptured fibre ring, which were 94.7%（18/19）, 55.5%（5/9）. Conclusion The approach to percutaneous epidural puncture under CT guidance and ozone injection in the treatment of lumbar disc herniation, which is safe, effective, less trauma and accurate positioning, simple operation, is the ideal treatment of rear side or rear protrusion.

关 键 词：臭氧 腰椎间盘突出 体层摄影术 X线计算机 

分 类 号：R814.42[医药卫生—影像医学与核医学] R681.5[医药卫生—放射医学]