臭氧椎间盘内注射治疗椎间盘源性腰痛疗效观察

目的：探讨椎间盘源性腰痛的特点以及C臂机引导下臭氧微创治疗椎间盘源性腰痛的临床疗效。方法：选取椎间盘源性腰痛患者68例，按照随机数字表将患者随机分成硬膜外腔组（C组）32例及臭氧微创治疗组（D组）36例。用视觉疼痛评分（VAS）和Nakai分级标准对每个患者进行术前和术后3d、6d、2个月分别评分，评估治疗效果及不良反应。结果：68例患者硬膜外穿刺或椎间盘穿刺均一次成功，无明显不良反应。两组患者治疗后3d、6d及2个月VAS评分均较治疗前明显降低，P〈0．05；D组术后2个月与术后3d、6d相比，P〈0．05；与C组相比较，术后2个月D组VAS评分明显下降，P〈0．05。Nakai分级：治疗后2个月，与C组相比较，D组优良率和总有效率均明显升高，P〈0．05。结论：c臂机引导下臭氧微创治疗椎间盘源性腰痛临床疗效确切，安全，不良反应少。

The Clinical Effect of Intradiscal Injection of Ozone in the Treatment of Discogenic Low Back Pain

：Objective： To discuss the clincal effect and evaluate curative effects of intradiscal injection of ozone in the C-arm guided mini- mally invasive treatment of discogenie low back pain. Methods：68 patients withdiseogenie low back pain in our hospital were randomly as- signed to epidural group （C group,n= 32） and ozone minimally invasive treatment group （D group,n= 36） according to the random number table. The visual pain scale （VAS） and Nakai grading standards were used to evaluate the treatment effects and adverse reaction before sugery and 3d, 6d, 2 months after surgery, respectively. Results： All the patients puncture or epidural disc puncture were only once and no signifi- cant adverse reactions. Compared with pre-operation, VAS score was significantly lower in the both two groups 3d, 6d and 2 months after op- eration, P~0.05 ; Compared with 3d and 6d after operation, the VAS in D group during 2M after operation decreased significantly, the VAS in D group during 2M after operation decreased significantly compared with C group, P〈0.05. Nakai grade： Compared with C group, the good rate and total effective rate in D group were significantly higher,P〈0.05. Conchllsion： C-arm-guided minimally invasive ozone in the treatment of discogenic low back pain was effective, safety and with no adverse reactions.