椎间盘内联合骶管内臭氧注射治疗包容性青壮年腰椎间盘突出症  

Intradiscal combined with sacral oxygen ozone injection in treatment of young patients with contained lumbar disc herniation

作　　者：李健辉[1] 李建伟 解晓彬[1] 刘剑锋[1] 景邵春[1] 王建梅[1] 王梦瑶[1] 

机构地区：[1]秦皇岛市第二医院骨科,河北秦皇岛066600 [2]秦皇岛市抚宁区医院骨科,河北秦皇岛066300

出　　处：《中国介入影像与治疗学》2017年第2期82-85,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：秦皇岛市科学技术研究与发展计划(201502A111)

摘　　要：目的探讨椎间盘内联合骶管内臭氧注射治疗青壮年包容性腰椎间盘突出症的疗效。方法收集青壮年包容性腰椎间盘突出症患者97例,根据治疗方案不同分为4组:Ⅰ组,保守治疗组,23例;Ⅱ组,臭氧椎间盘内注射组,24例;Ⅲ组,臭氧骶管内注射组,25例;Ⅳ组,臭氧椎间盘内联合骶管内注射治疗组,25例。观察不同组别患者的疼痛视觉模拟评分(VAS)及Macnab评分。结果治疗前Ⅰ~Ⅳ组VAS评分分别为(7.93±1.21)分、(8.13±0.96)分、(7.87±1.27)分、(8.35±1.43)分,治疗后3个月分别降至(4.30±1.39)分、(1.63±0.79)分、(2.58±0.68)分、(0.32±0.07)分;各组内治疗前与治疗后VAS评分比较差异均有统计学意义(P<0.05),治疗后组间比较VAS评分差异有统计学意义(P<0.05),其中Ⅳ组VAS评分最低,疼痛缓解最明显。治疗后3个月Ⅰ~Ⅳ组优良率分别为56.52%(13/23)、79.17%(19/24)、76.00%(19/25)、92.00%(23/25),差异有统计学意义(P<0.05)。结论臭氧注射治疗腰椎间盘突出症具有操作简单、创伤小、疗效好等特点,是治疗青壮年包容性腰椎间盘突出症的有效治疗方案,椎间盘内联合骶管内臭氧注射治疗效果更优。Objective To evaluate the efficacy of intradiscal combined with sacral oxygen ozone injection in treatment of young patients with contained lumbar disc herniation. Methods Totally 97 young patients with contained lumbar disc herniation were collected, which were divided into 4 groups according to treatment methods： conservative treatment group （group Ⅰ , n=23）, intradiscal ozone injection group （group Ⅱ , n=24）, sacral ozone injection group （group Ⅲ , n=25）, intradiscal combined with sacral ozone injection group （group Ⅳ, n=25）. Visual analogue scale （VAS） pain score and Macnab score were observed and compared in four groups. Results Before operative treatment, the VAS pain score of group Ⅰ -Ⅳ was 7.93±1.21, 8.13 ±0.96, 7.87 ±1.27 and 8.35 ±1.43, respectively, while the VAS pain score of Ⅰ -Ⅳ reduced to 4.30±1.39, 1.63±0.79, 2. 58±0.68, 0.32±0.07 after 3 months of treatment. The difference of VAS pain score for each group was statistically significant between pre- and post-treatment （P〈0.05）, and the difference had statistically significance among four groups after treatment （P〈0.05）. The lowest VAS score was in group IV and pain re lief was best. After 3 months treatment, the excellent and good rate of Ⅰ- Ⅳ was 56.52% （13/23）, 79.17% （19/24）, 76.00% （19/25）, 92.00% （23/25）, and the difference had statistically significance （P〈0.05）. Conclusion Ozone injection in treatment for young patients with contained lumbar disc herniation has advantages of simple operation, small trauma, good curative effect. Intradiscal and sacral ozone injection is more effective.

关 键 词：臭氧 椎间盘移位 骶管内注射 

分 类 号：R681.53[医药卫生—骨科学]