等离子消融与中药熏蒸治疗腰椎间盘突出症50例临床分析

目的探讨等离子刀联合中药熏蒸治疗腰椎间盘突出症的临床疗效。方法在2009年6月～2011年6月对50例腰椎间盘突出症患者行经皮穿刺等离子消融联合中药熏蒸治疗,观察视觉疼痛模拟评分(visual analogue scale,VAS)、Oswestry评分,且术后6个月进行疗效随访。结果本组患者术前VAS、Os-westry评分分别为(8.21±1.02)、(80.2±1.9)分,术后1 w降低至(2.12±0.52)、(27.8±1.2)分,术前与术后比较有显著性差异(p<0.01);术后6个月疗效随访观察结果为临床显效45例,有效3例,无效2例,总有效率为96%,无并发症。结论等离子刀联合中药熏蒸治疗腰椎间盘突出症具有创伤小、起效快的优点,是一种微创、安全、有效的治疗手段。

CLINICAL EFFECT OF PERCUTANEOUS PLASMA ABLATION AND HERBAL FUMIGATION ON PROLAPSE OF LUMBAR INTERVERTEBRAL DISC IN 50 CASES

Objective To analyze the clinical effect and prospects of percutaneous nucleoplast on lumbar disc herniation. Methods From June 2009 to June 2011, a total of 50 cases with lumbar disc herniation were treated with percutaneous ablation plasma vaporization and herbal fumigation. Results The average Follow - up was 6 months（ range,3 to 12 months）. There was a significant difference between the preoperative VAS,Oswestry score （8. 21 ±1.02） ; （80. 2±1.9） and the postoperative VAS, Oswestry score （2. 12±0. 52）, （27. 8±1.2 ） （p 〈 0. 001 ） ; resulting in Excellent45cases, Good3cases, Bad2cases. The total effective rate was 96% after 6 months. No major complication occurred. Conclusion Plasma radio frequency ablation and herbal fumigation treatment has the advantages of minimal invasion and quick efficacy, which provide as a safe , effective and minimally invasive treatment for lumbar disc herniation.