等离子髓核成形术联合臭氧治疗颈椎间盘突出症  

Temperature- controlled radiofrequency combined with ozone for treatment of cervical disc herniation

作　　者：陈黔 钱黎 潘奇 张亮 王大寿 何猛 吴黔鸣 廖丹 

机构地区：[1]贵州省骨科医院疼痛科,贵州贵阳550002

出　　处：《中国矫形外科杂志》2015年第15期1375-1378,共4页Orthopedic Journal of China

摘　　要：[目的]观察低温等离子髓核成形术联合医用臭氧治疗颈椎间盘突出症的临床疗效。[方法]采用随机双盲的方法,将60例符合纳入标准的颈椎间盘突出症患者进行分组,A组30例,为医用臭氧注射治疗组,B组30例,为低温等离子髓核成形术联合医用臭氧治疗组,采用VAS评分、JOA评分及Williams疗效标准,观察两组患者术后1周,术后1、3、6个月及1年的临床疗效。[结果]两组治疗前后VSA评分、JOA评分差异均有统计学意义(P<0.05);组间比较,术后3、6个月,1年VSA评分、JOA评分差异均有统计学意义(P<0.05),B组治疗后优良率为90%,A组治疗后优良率为73.3%,差异有统计学意义(P<0.05)。[结论]低温等离子髓核成形术联合医用臭氧治疗颈椎间盘突出症的疗效优于单独应用医用臭氧注射。[Objective] To analyze clinical outcome of temperature- contraolled radiofrequency combined with ozone for treatment of cervical disc herniation. [Methods] A prospectively analysis was conducted on 60 patients who underwent minimal invasive treatment of cervical disc herniation. These patients were classified into the group A or B based on random and double-blind method. Simple intervertebral injection of ozone was given in the group A（ n = 30）,while plasma mediated coblation combined with ozone injection therapy were used in the group B（ n = 30）. Visual analogue scale（ VAS）,the Japanese Orthopedic Association（ JOA） score and Williams criteria were used to evaluate the clinical outcome at the time point of 1week,1month,3 months,6 months and 1 year after operation. [Results] There were significant differences in VAS and JOA score between the two groups at 3 months,6 months,1 year after operation（ P〈0. 05）. The efficacy rate of the group B 1 year after surgery was 90. 0%,which was significantly higher than 73. 3% of the group A（ P〈0. 05）. [Conclusion] Results of plasma- mediated coblation combined with ozone injection for treatment cervical disc herniation is superior to that of the zone therapy alone.

关 键 词：低温等离子髓核成形 臭氧 颈椎间盘突出 

分 类 号：R687.3[医药卫生—骨科学]