CT引导下臭氧消融术治疗腰椎间盘突出症

目的探讨CT引导下臭氧消融术治疗腰椎间盘突出症的疗效。方法 46例腰椎间盘突出症患者在CT引导下,椎间盘内、外分别注射50μg.mg-1和25μg.mg-1医用臭氧5～10mL。结果 46例患者共53个椎间盘在CT引导下均穿刺成功,未出现严重并发症。术后3个月随访,优19例,良16例,一般8例,无效3例,优良率达76.1%;术后6个月随访,优21例,良18例,一般5例,无效2例,优良率达84.8%。结论 CT引导下臭氧消融术治疗腰椎间盘突出症是一种安全、有效的微创治疗方法,值得临床推广应用。

Treatment of Lumbar Intervertebral Disc Herniation with CT-guided Ozone Ablation

Objective To evaluate the effect of CT-guided ozone ablation on lumbar interverte- bral disc herniation. Methods Forty-six patients with lumbar intervertebral disc herniation were extradiscally and intradiscally injected with 25 and 50μg.mg-1 medical ozone （5-10 mL） under CT guidance,respectively. Results All the 46 patients （53 intervertebral discs） underwent suc- cessful puncture without serious complications. After 3 months of follow-up, results were excel- lent in 19 patients,good in 16,fair in 8 and poor in 3,with an excellent and good rate of 76.1%. After 6 months of follow-up,results were excellent in 21 patients,good in 18,fair in 5 and poor in 2,with an excellent and good rate of 84.8%. Conclusion CT-guided ozone ablation is a safe,ef- fective and minimally invasive method and is worthy of popularization in the treatment of lumbar intervertebral disc herniation.