CT引导下经皮椎间盘内注射臭氧治疗颈椎间盘突出症

Percutaneous Ozone Intradiscal Injection to Treat Cervical Disc Herniation under CT Guidance

目的:探讨CT引导下臭氧椎间盘内注射治疗颈椎间盘突出症的安全性及疗效。方法:56例患者共62个椎间盘经MRI或CT证实为颈椎间盘突出症,表现为上肢麻木疼痛、颈肩痛及头晕等。在CT引导下,经3个途径穿刺至椎间盘内:经颈总动脉鞘与气管之间的间隙,或经颈总动脉鞘与椎动脉之间的间隙,或经椎动脉后方。每个盘内注射臭氧2～8mL,平均3.8mL,臭氧气体中O3浓度为50μg/mL。结果:56例患者均随访6个月以上,总有效率为73.2%,其中显效22例(39.3%),有效19例(33.9%),无效15例(26.8%)。无严重并发症发生。结论:CT引导下经皮穿刺椎间盘内注射臭氧是一种安全、有效、微创治疗颈椎间盘突出症的方法。

Objective:To evaluate the safety and therapeutic efficacy for the treatment of cervical disc herniation with ozone(O2/O3 mixture gas)intradiscal injection.Methods:Fifty-six patients with sixty-two cervical herniated discs verified by MRI or CT were selected in this study,all patients presented with upper limb numbness and pain,or cervicobrachial pain or dizziness,etc.Under CT guidance,the abnormal cervical disc was punctured into using 21G needle through three routes:via the space between carotid artery she...