微创髓核成形术叠加氧-臭氧混合物治疗腰椎间盘突出症

目的]探讨应用髓核成形术叠加氧-臭氧混合物治疗腰椎间盘突出症的治疗机理及其临床疗效。方法]2005年6月～2006年6月对62例腰椎间盘突出症患者行叠加术治疗,其中男34例,女28例;年龄32～76岁,平均53.4岁,病程3～56个月,平均1.3年。椎间盘突出类型为L3、4及L4、513例,L4、532例,L4、5及L5S18例,L5S19例。对其疗效进行随访分析。结果]术后经过25～35个月随访,按照改良MacNab评估,优50例、良8例、可2例、差2例,优良率达到93.5%。结论]应用髓核成形术叠加氧-臭氧混合物疗法的优势互补技术是一种行之有效的微创治疗方法,从而使治疗效果达到最大化,使局部损伤降低到最小,拓展了适应证,扩大了微创技术在腰椎间盘突出症治疗中的应用空间。

Minimally invasive nucleoplasty combined with Oxygen-Ozone therapy for the treatment of lumbar disc herniation

Objective]To explore the mechanism of nucleoplasty combined with oxygen-ozone for the treatment of lumbar disc herniation，and to evaluate its therapeutic effects.Method]From June 2005 to June 2006，62 patients with lumbar disc herniation were treated by nueleoplasty combined with oxygen-ozone，34 were male and 28 were female，ranging in age from 32 to 76 years，with an average of 53.4 years.The course of this disease ranged from 3 to 56 months，meanly 1.3 years.Thirteen patients had the herniation at L4.5 and L3，4，thirty two patients at L4、5，eight patients at L4、5 and L5S1，and nine patients at L5S1.The curative effect was assessed by using a modified MacNab method.Result]After 25～35 months'follow-up，there were no servious complications in all 62 cases.According to modified MacNab assessment，50 cases(80.7%)achieved excellent outcomes，8 cases(12.9%)good，2 cases(3.2%)fair and 2 cases(3.2%)poor.The excellent and good rate was 93.5%.Conclusion]The micro-invasive technique of nueleoplasty combined with oxygen-ozone is effective in the treatment of lumbar disc herniation，and it has maximized the clinical effect and minimized the local damage：it also expanded adaptive cases with lumbar disc herniation and enlarged the applicable scope of minimally invasive technique in treating lumbar disc hemiation.