射频热凝联合臭氧髓核消融治疗腰椎间盘突出症的临床价值

目的探讨射频热凝联合臭氧髓核消融治疗腰椎间盘突出症的临床应用价值。方法对40例腰椎间盘突出症患者采用射频热凝联合臭氧髓核消融治疗,其中22例患者射频靶点热凝术后即刻行臭氧髓核消融术,18例视具体情况射频热凝与臭氧髓核消融间隔时间1～5 d不等。对治疗后的10例患者进行0.5～4月随访,并按MacNab腰腿痛疗效评价标准进行评价。结果40例患者全部顺利完成治疗,术后显效率100%,平均住院时间7.6 d。随访10例患者中,疗效优4例,良5例,优良率占90%（9/10）,疗效差1例,占10%（1/10）。结论射频热凝联合臭氧髓核消融治疗腰椎间盘突出症具有重要临床价值。

Clinical applications of radiofrequency thermocoagulation combined with ozone nucleus pulposus ablation in treatment of lumbar disc herniation

Objective To explore the clinical applications of radiofrequency thermocoagulaion combined with ozone nucleus pulposus ablation in treatment of lumbar disc herniation. Methods Forty patients with lumbar disc herniation underwent radiofrequency thermocoaguation combined with ozone nucleus pulposus ablation therapy, among whom 22 underwent ozone nucleus pulposus ablation therapy at once after radiofrequency thermocoagulation and the other 18 underwent the combined therapy with the intermittent time form one day to 5 days. A follow-up of half a month to 4 months after therapy was done for 10 patients and an analysis was made with MacNab standard. Results All patients were treated with this method successfully. The effective rate was 100% and average hospitalization time was 7.6 days. Among 10 patients followed up,the satisfactory rate was 90% and the ineffective rate was 10%. Conclusion Radiofrequency thermocoagulaion combined with ozone nucleus pulposus ablation is a valuable method for lumbar disc herniation.