CT引导下双极射频热凝联合臭氧注射治疗腰椎间盘突出症

目的：探讨双极射频热凝联合盘内臭氧注射治疗腰椎间盘突出症的临床效果及安全性。方法选择明确诊断为腰椎间盘突出症患者62例，在CT引导下行椎间盘双极射频热凝术联合盘内臭氧注射术治疗。采用改良Macnab方法评估术后7、14、30、180天的疗效，并记录术后不良反应。结果治疗后7、14、30、180天的疗效优良率分别为62.9%、85.4%、90.3%、93.5%。均较治疗前明显改善；远期疗效满意；治疗过程中未出现严重不良反应。结论双极射频热凝联合盘内臭氧注射治疗腰椎间盘突出症具有微创、安全、疗效好的优点，是可供选择的微创介入方法。

The clinical effects of CT-guided bipolar radiofrequency thermocoagulation combined ozone injection on lumbar disc herniation

Objective To explore the clinical effects and safety of the bipolar radiofrequency thermocoagulation combined ozone injection on lumbar disc herniation（LDH）. Methods 62 patients with LDH were treated with bipolar radiofrequency thermocoagulation combined ozone injection. The patients were followed up at 7,14,30 and 180 days after treatment. The clinical effects were eval-uated with modified Macnab method and side effects were recorded. Results The excellent and good rates at 14,30,90 and 180 days after treatment were 62.9%,85.4%,90.3% and 93.5%, re-spectively. Conclusion Bipolar radiofrequency thermocoagulation combined ozone injection is a safe and effective microinvasive treatment for LDH,with the characteristics of simple to perform,easy to master,minimally invasive,without serious complication.