医用臭氧及PLD治疗腰椎间盘突出症的临床对比研究

目的：探讨医用臭氧及PLD治疗腰椎间盘突出症的价值和作用。方法：选择腰椎间盘突出症患者77例，分为2组，第一组为PLD组，42例，第二组为臭氧治疗组，35例，分别行PLD手术以及臭氧治疗。结果：PLD组和臭氧治疗组的总有效率分别为76.19％和86.71％，无统计学差异；两组的并发症率分别为28.57％和0，有统计学差异，其中腰肌痉挛相比有统计学差异，而腰肌内血肿、神经损伤、椎间盘炎以及小关节绞锁无统计学差异。结论：医用臭氧及PLD均是治疗腰椎间盘突出症的微创方法，具有安全有效和并发症少等优点，但二者的治疗原理和适应证不同，只有选择适当的病例可以发挥各自的优点，提高疗效。

Clinical comparison of treatment of lumbar disc herniation with medical ozone and PLD

Objective:To evaluate the clinical value in the treatment of lumbar disc herniation with medical ozone and PLD.Methods:Seventy-seven patients with lumbar disc herniation were divided into two groups:PLD group and ozone group.Forty-two cases with lumbar disc herniation received PLD procedure and the other 35 cases had injection of medical ozone into the disc and paravertebral space.Results:The overall efficacy of PLD group and ozone group were 76.19% and 86.71% respectively,but there was no statistically significant difference.The complication of the two groups were 28.57% and 0% respectively and had significant difference,the complication of psoas spasm had statistically significant difference,but psosa hematoma,nerve injury,discitis and lumbar small joint disorder had no significant difference.Conclusion:Medical ozone and PLD are minimal-invasive treatment methods are effective and safe to treat lumbar disc herniation,but there are different principles of treatment and indication between medical ozone and PLD,and the curative effect of lumbar disc herniation is improved by selecting the proper cases.