射频靶点热凝联合臭氧消融治疗腰椎间盘突出症173例疗效观察

目的:观察射频靶点热凝联合臭氧消融术治疗腰椎间盘突出症的临床疗效。方法:173例腰椎间盘突出症患者,在CT引导下,行突出髓核射频热凝治疗,然后向椎间盘内注射臭氧。采用视觉模拟评分法(VAS)和改良Macnab评价法评价疗效。结果:术后1天、1周、1个月、3个月VAS评分值均明显低于术前,差异有统计学意义(P<0.001);术后3个月疗效评定,优良率93.06%,总有效率98.27%,无1例出现严重并发症。结论:射频靶点热凝联合臭氧消融治疗腰椎间盘突出症疗效确切,安全性好,值得临床推广。

Curative Effect of Radiofrequency Thermocoagulation Combined with Ozone Chemonucleolysis on Lumbar Disc Herniation

Objective:To observe the curative effect of radiofrequency thermocoagulation combined with ozone chemonucleolysis on lumbar disc herniation . Methods: Total 173 cases suffered lumbar disc herniation , were treated with radiofrequency thermocoagulation of the herniated disk material under the guidance of CT, and received intradiscal injection of an oxygen-ozone mixture. The effects were assessed with visual analoque scale ( VAS) and Macnab’s evaluating method. Results: At 1 days, 1 weeks,1 months,3 months after treatment, the VAS scale were lower than before operating(P<0.001). Curative effect evaluation at 3 months,excellent and good rate was 93.06%,and total effective rate was 98. 27% . No severe complications occured during the follow up.Conclusions: The method of radiofrequency thermocoagulation combined with ozone chemonucleolysis proves to be significant, safe and worthwhile to be widely used in clinical treatment of lumbar disc herniation.