激光加臭氧联合治疗椎间盘源性下腰痛初步研究

目的：评价联合应用经皮穿刺激光加臭氧对椎间盘源性下腰痛的治疗效果。方法：椎间盘源性下腰痛患者48例,男32例,女16例;年龄21～66岁,平均43.5岁;病程6个月以上。所有病例均在X线电视导向下联合应用经皮穿刺激光髓核消融加臭氧治疗。结果：术后随访无严重并发症发生。根据Macnab腰腿痛手术评价标准,术后1周时优8例,良28例,可8例,差4例,优良率75%;3个月时优17例,良23例,可6例,差2例,优良率83.3%;6个月时优20例,良22例,可4例,差2例,优良率87.5%;12个月时优21例,良22例,可4例,差1例,优良率89.6%。结论：联合应用经皮穿刺激光加臭氧治疗椎间盘源性下腰痛的疗效确切。

Preliminary report for treatment of discogenic low back pain with combined percutaneous laser and O2-O3 mixture

Objective: To evaluate the efficacy of percutaneous laser and O₂-O₃ mixture in treating chronic discogenic low back pain. Methods: There were 48 patients included 32 male and 16 female with the mean age of 43.5 years(range,from 21 to 66 years). The duration of symptoms was more than 6 months,all patients were treated with percutaneous laser and O₂-O₃ mixture under TV monitoring. Results: Forty-eight patients followed-up showed no severe complications. At 1 week follow up,8 cases were evaluated as excellent,28 as good,8 as fair and 4 as poor by Macnab standard. The excellent and good rate reached 75%. At 3 months follow up,17 cases were evaluated as excellent,23 as good,6 as fair and 2 as poor with the excellent and good rate of 83.3%. At 6 months follow up,20 cases were evaluated as excellent,22 as good,4 as fair and 2 as poor with a total effective rate of 87.5%. At 12 months follow up,21 cases were evaluated as excellent,22 as good,4 as fair and 1 as poor with a total effective rate of 89.6%. Conclusion: Combined percutaneous laser and O₂-O₃ mixture is an effective and safe method in treating discogenic low back pain.