射频热凝靶点消融结合臭氧注射治疗腰椎间盘突出症的3年随访  

Three years follow-up of radiofrequency thermocoagulation target ablation combined with ozone injection in the treatment of lumbar disc herniation

作　　者：雷征[1] 吴尔军 王助英[1] 姜才美[1] LEI Zheng;WU Er-jun;WANG Zhu-ying;JIANG Cai-mei(No.3 Orthopedics Department, Shaanxi Second Provincial People＇s Hospital, Xi＇an 710004, China)

机构地区：[1]陕西省第二人民医院骨三科,陕西西安710004

出　　处：《临床医学研究与实践》2018年第13期52-54,共3页Clinical Research and Practice

摘　　要：目的分析射频热凝靶点消融结合臭氧注射治疗腰椎间盘突出症(LDH)的远期疗效。方法选取2012年2月至2014年2月我院收治的92例LDH患者,随机分成对照组与研究组,每组46例。对照组应用射频热凝靶点消融治疗,研究组在对照组的基础上加用双针穿刺穿通式臭氧注射治疗。对比两组治疗前、治疗6个月及治疗3年末的疼痛程度评分、两组患者治疗期间并发症发生情况及3年随访的远期疗效。结果治疗前,两组患者的VAS评分比较,无明显差异(P>0.05);治疗6个月末,研究组患者的VAS评分明显低于对照组与治疗前,差异具有统计学意义(P<0.05);治疗3年末,研究组患者VAS评分明显低于对照组与治疗前,差异具有统计学意义(P<0.05)。对照组有1例患者术后出现轻微头晕、恶心,研究组无1例发生明显的并发症。两组患者在3年随访期间无1例发生死亡,研究组患者的治疗优良率为91.3%,明显高于对照组的78.3%(P<0.05);且研究组患者复发率为6.5%,明显低于对照组患者的32.6%(P<0.05)。结论射频热凝靶点消融结合臭氧注射治疗LDH的效果显著,可有效缓解患者的疼痛情况,并发症少,值得推广。Objective To analyze the long-term efficacy of radiofi＇equeney thermoeoagulation target ablation combined with ozone injection in the treatment of lumbar disc herniation （LDH）. Methods A total of 92 cases of LDH fi＇om February 2012 to February 2014 in our hospital were selected and randomly divided into control group and study group, with 46 cases in each group. The control group was treated radiofrequeney thermoeoagulation target ablation, the study group yeas treated with double needle wear formula ozone injection therapy on the basis of the control group. The scores of pain before treatment and at 6 months and at 3 years of treatment, the long-term curative effects for 3 years follow-up, complications during treatment of the two groups were compared. Results Before treatment, there was no significant difference between the two groups VAS scores （P〉0.05）; after 6 months of treatment, the VAS score of patients in the study group was signifi- cantly lower than that in the control group and before treatment, the difference was statistically significant （P〈0.05）; after treatment of 3 years, the VAS score in the study group was significantly lower than that in the control group and before treatment, the difference was statistically significant （P〈0.05）. In the control group, there was 1 patient with slight dizziness and nausea after operation. There were no obvious complications in the study group. No deaths occurred in the two groups during the 3 years. The excellent and good rate in the study group was 91.3%, which was significantly higher than 78.3% in the control group, the difference was statistically significant （P〈0.05）, and the recurrence rate in the study group was 6.5%, which was significantly lower than 32.6% in the control group, the difference was statistically significant （P〈0.05）. Conclusion Radiofi＇equeney thermoeoagulation target ablation combined with ozone injection in the treatment of LDH has a significant effect, can effectively alleviate the pain of patie

关 键 词：靶点射频 臭氧 腰椎间盘突出症(LDH) 

分 类 号：R681.5[医药卫生—骨科学]