胶原酶结合臭氧治疗腰椎间盘突出症临床观察

目的评价胶原酶结合臭氧治疗腰椎间盘突出症的疗效。方法对临床及CT或MRI确诊的腰椎间盘突出症90例,随机分2组,A组给予硬膜外前间隙注射胶原酶,B组在A组基础上椎间盘内注射臭氧。结果术后3个月随访,A组45例:显效率37.8%,有效率93.3%;B组45例:显效率68.9%,有效率95.6%,B组较A组疗效明显提高(P<0.05)。2组均无明显不良反应。结论胶原酶和臭氧联合治疗腰椎间盘突出症疗效满意。

Therapeutic Effect of Collagenase and Oxygen -Ozone in Patients with Lumbar Disc Herniation

Objective To evaluate the clinical effect of chemonucleolysis with collagenase and oxygen-ozone in lumbar disc herniation.Methods 90 cases with lumbar disc herniation confirmed by clinic,CT or MRI were randomly divided into the control group (collagease was injected outside the lumbar disc) and treatment group (based on the treatment of control group,oxygen-ozone was injected into lumbar disc).Results 90 cases were followed-up after the operation for 3 months. The excellent rate was 37.8% in the control group, 68.9% in the treatment group. The excellent or good rate was 93.3% in the control group, 95.6% in the treatment group. The excellent rate was significantly higher in the treatment group than that in the control group (P<0.05).Conclusion The therapeutic effect using collagenase combined with ozone to treat lumbar disc herniation is satisfactory.