C臂引导下射频靶点热凝联合臭氧消融治疗腰椎间盘突出症的临床研究  

Clinical Research on Treating Lumbar Disc Herniation Radio Frequency Target Thermal with Coagulation Combined Ozone Ablation Guided by C-arm

作　　者：张桂友[1] 秦榜勇[1] 张德新[1] 姚刚[1] 文松[1] 王捷[1] 

机构地区：[1]遵义医学院附属医院,贵州遵义563003

出　　处：《贵阳中医学院学报》2017年第1期75-78,共4页Journal of Guiyang University of Chinese Medicine

摘　　要：目的:观察射频靶点热凝联合臭氧消融用于治疗腰椎间盘突出症的临床疗效。方法:挑选2013年6月至2015年12月我院收治的67例腰椎间盘突出症患者,在C臂引导下,行射频靶点热凝联合臭氧消融治疗,记录患者的临床资料及手术前后的VAS评分,参照改良Macnab法计算治疗有效率。结果:手术前和术后1天、1周、1月、3月的VAS评分依次为6.94±2.74、3.75±3.19、3.12±2.78、2.27±2.37、1.48±1.74,术后较术前明显降低(P<0.01)。Macnab法评价术后1周和3个月的治疗有效率分别达到86.6%和89.6%,其中效果显著者分别占50.7%和55.2%。结论:射频靶点热凝联合臭氧消融用于治疗腰椎间盘突出症具有操作简单,安全性高,疗效显著的优点,值得临床推广。Objective：To evaluate the clinical efficacy of radiofrequency hermocoagulation combined with o- zone ablation in the treatment of lumbar disc herniation. Methods： 67 LDH patients treated in our hospital from June 2013 to December 2015 were involved in this study. They were performed radiofrequency thermocoagula- tion and ozone ablation guided by C - arm. The clinical data, along with VAS scores were recorded and summa- rized. Referring to the modified Macnab method to calculate efficient treatment. Results： The VAS scores re- corded in pre - operation and 1 day, 1 week, 1 month, 3 months after operation were 6. 94±2.74, 3.75±3.19, 3.12 ± 2. 78, 2.27 ± 2.37 and 1.48 ± 1.74 respectively. Evaluation method for the Macnab to the effective rate at 1 week and 3 months post - operation was 86.6% and 89.6% respectively. The result remarkable- ness accounted for 50.7% and 50.7% respectively. Conclusions： The results of this retrospective research indicated that the application of radiofrequency thermocoagulation and ozone ablation is a safe and useful interven- tion for lumbar disc herniation.

关 键 词：腰椎间盘突出症 射频靶点热凝 臭氧消融 疗效分析 

分 类 号：R681.53[医药卫生—骨科学]