经皮椎间盘臭氧注射术与小针刀联合治疗腰椎间盘突出症的临床观察  

Clinical observation on umbar disc herniation treated by percutaneous treatment of lumbar disc herniation by injection of medical ozone combined with a small knife

作　　者：唐宗华[1] 

机构地区：[1]石棉县中医医院,四川石棉625400

出　　处：《中医临床研究》2015年第15期87-89,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的：探讨应用经皮椎间盘臭氧注射术与小针刀联合治疗腰椎间盘突出症的临床疗效,并探讨不同年龄段及发病时间对疗效的影响。方法：应用医用臭氧发生器,在C臂X光机引导下行脊柱后外侧经皮穿刺,到达病变腰椎间盘髓核后,注入60μg/ml的O310~20 ml,退针至相应椎间孔的后缘注入40μg/ml的O310 ml,卧硬板床休息1 d后行腰部及患侧腿部的小针刀松解治疗,小针刀松解治疗后卧硬板床休息1周。本组病例158例,共226个椎间盘,按中华骨科学会脊柱学组腰背痛手术评分标准评定疗效。结果：术后158例均得到了随访。术后1周：优149例,占94.3%,良8例,占5.1%,差1例,占0.6%;术后3月：优145例,占91.8%,良10例,占6.3%,差3例,占1.9%;术后6月：优142例,占89.9%,良14例,占8.9%,差2例,占1.3%;术后12个月：优139例,占88.0%,良16例,占10.1%,差3例,占1.9%。结论：该技术操作简单,创伤小,疗效好,疗程短,安全系数高,复发率小,值得推广。Objective： To evaluate the clinical efficacy of percutaneous disc ozone injection technique combined with a small knife in the treatment of lumbar disc herniation and explore the effects of different ages and time of onset of efficacy.Methods： The medical ozone generator in the ＂C＂ arm X-ray machine after the guided percutaneous spine outer reaches lumbar disc disease, inject 60 ug / ml of O310 ~ 20 ml,needle back to the respective intervertebral the trailing edge of the hole injecting 40 ug / ml of O310 ml,lying rigid bed rest 1 d underwent ipsilateral waist and legs with small knife treatment,after treatment with small knife lying rigid bed rest for 1 week. There were 158 cases, a total of 226 disc.According to the Chinese Orthopaedic Association study group back pain spine surgery score evaluated. Results： 158 cases were obtained after a follow-up. After one week： 149 cases were excellent, accounting for 94.30%, 8 cases good, accounting for 5.06% and 1 cases poor, accounting for 0.63%;after 3 months：145 cases were excellent, accounting for 91.77%, 10 casesgood, accounting for 6.33 percent, 3 cases poor, accounting for 1.90%; after 6 months： 142 cases were excellent, accounting for 89.87%, 14 cases good,accounting for 8.86%, and 2 cases poor, accounting for 1.27%; after 12 months： 139 cases were excellent,accounting for 87.97 percent,16 cases good, accounting for 10.13%, and 3 cases poor,accounting for 1.90%.Conclusion：This technique is simple,less invasive, effective with short course, high safety factor and low recurrence rate, which is worthy of promotion.

关 键 词：臭氧 经皮 小针刀 联合治疗 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]