经皮激光汽化减压联合臭氧髓核氧化术治疗椎间盘源性腰痛的效果观察

目的 探讨经皮激光汽化减压联合臭氧髓核氧化术治疗椎间盘源性腰痛的临床疗效.方法 应用医用半导体激光和医用臭氧,在X线引导下采用18G穿刺针经皮穿刺至髓核区,然后由穿刺针导入600μm光导纤维,用脉冲式激光切割、汽化髓核,以每个椎间盘800～1000J切割、汽化,再向椎间盘注入浓度为60μg/ml臭氧约5～8ml,共治疗74例95节腰椎间盘.结果 按照MACNAB标准评定,74例患者术后随访5～36个月,优64例,良6例,可4例,差0例,优良率94.6%.结论 经皮激光汽化减压联合臭氧髓核氧化术治疗椎间盘源性腰痛,疗效佳,操作简便,创伤小,安全性高,恢复快.

Percutaneous Laser Disk Decompression Combining Ozone Nucleus Gelatinosus Oxidizing Technique Treats Discogenic Low Back Pain

Objective To explore the therapeutic effect of treatments with Percutaneous Laser Disk Decompression( PLDD ) combining ozone nucleus gelatinosus oxidizing technique in Discogenic Low Back Pain ( DLBP ). Methods The spinal needle was inserted in the space of the nucleus gelatinosus under X-ray guidance.74 patients with 95 lumbar disks were treated by pulsed-wave mode laser cutting and vaporizing ( with the power of 600 ～ 1000 J for each lumbar disk ) and O3( 5～8 ml with concentration of 60μ g/ml influxed ).Results According to Macnab's standard, among the total 74 patients with the followup of 5 to 36 months, 64 patients had excellent therapeutic effects, 6 patients had good therapeutic effects,4 patients had some therapeutic effects and no one had no therapeutic effects. The total excellent and good effective rate is 94.6%. Conclusion The PLDD combining ozone nucleus gelatinosus oxidizing technique treats DLBP, with advantages of good therapeutic effect, easy operation, little injury, high safety and fast recovery.