探讨靶点射频热凝联合臭氧消融治疗腰椎间盘突出症的临床疗效  

Explore the Clinical Efficacy of Target Radiofrequency Thermocoagulation Combined with Ozone Ablation in the Treatment of Lumbar Disc Herniation

作　　者：权宗军 曾兆荣 QUAN Zong-jun;ZENG Zhao-rong(Department of Psychiatry,Linyi Mental Health Center,Linyi,Shandong Province,276000 China)

机构地区：[1]临沂市精神卫生中心精神科,山东临沂276000

出　　处：《中外医疗》2020年第12期57-59,共3页China & Foreign Medical Treatment

摘　　要：目的探讨靶点射频热凝联合臭氧消融治疗腰椎间盘突出症(LDH)的临床疗效。方法方便选择该院2017年1月-2018年12月收治的40例LDH患者为研究对象,随机均分为靶点射频热凝组、靶点射频热凝联合臭氧消融组,经C型臂X线定位穿刺点,靶点射频热凝组采用单纯射频热凝进行LDH治疗。靶点射频热凝联合臭氧消融组采用靶点射频热凝联合浓度60 ug/mL的臭氧10m1盘内注射椎间盘消融进行LDH治疗,根据改良的Macnab疗效评定标准评定。同时,随访半年,对比两组ODI和JOA评分情况。结果靶点射频热凝联合臭氧消融组总有效率95.00%显著高于单纯靶点射频热凝治疗组85.00%(χ^2=5.555,P<0.05)。术后半年,靶点射频热凝联合臭氧消融组ODI、JOA评分分别为(25.58±3.34)分、(20.33±3.58)分均优于靶点射频热凝组组(30.17±4.08)分、(15.58±3.02)分,差异有统计学意义(t1=5.582,t2=4.733 P<0.05)。结论靶点射频热凝联合臭氧消融治疗腰椎间盘突出症的方法具有较高的临床应用价值。Objective To investigate the clinical effect of radiofrequency thermocoagulation combined with ozone ablation on lumbar disc herniation(LDH).Methods Forty patients with LDH treated in the hospital from 2017.1 to 2018.12 were conveniently selected as the research subjects.They were randomly divided into the target radiofrequency thermocoagulation group,the target radiofrequency thermocoagulation combined with ozone ablation group,and the puncture point was located by C-arm X-ray.The radiofrequency thermocoagulation group was treated with radiofrequency thermocoagulation for LDH.The target radiofrequency thermocoagulation combined with ozone ablation group used target radiofrequency thermocoagulation combined with 60 ug/ml ozone 10m1 intra-disc disc ablation for LDH treatment,and was evaluated according to the modified Macnab curative effect evaluation standard.At the same time,follow-up for six months,the ODI and JOA scores of the two groups were compared.Results The total effective rate of the target radiofrequency thermocoagulation combined with ozone ablation group was 95.00%,which was significantly higher than that of the target radiofrequency thermocoagulation group(85.00%)(χ^2=5.555,P<0.05).Six months after operation,the ODI and JOA scores of the target radiofrequency thermocoagulation combined with ozone ablation group were(25.58±3.34)points and(20.33±3.58)points,which were better than the target radiofrequency thermocoagulation group(30.17±4.08)points and(15.58±3.02)points,(t1=5.582,t2=4.733 P<0.05).Conclusion The method of target radiofrequency thermocoagulation combined with ozone ablation for the treatment of lumbar disc herniation has high clinical application value.

关 键 词：腰椎间盘突出症 椎间盘射频靶点热凝术 臭氧消融术 穿刺定位 

分 类 号：R656[医药卫生—外科学]