经皮穿刺O_2-O_3混合气体盘内注射术治疗颈椎间盘突出症

Percutaneous injection of intradiscal space with O_2-O_3 mixture to treat cervical disc herniation

目的探讨经皮穿刺O2O3混合气体注射术治疗颈椎间盘突出症的疗效及安全性。方法32例患者经MRI证实为颈椎间盘突出症,表现为上肢麻痛、颈肩痛及头晕等。在透视下经右颈总动脉与气管间隙穿刺至颈椎间盘中央,每个椎间盘内注射O2O3混合气体1.5～3.0ml,椎旁间隙注射3～5ml,其O3浓度为(30～50)μg/ml。结果32例随访时间3至32个月,总有效率为78.1%。其中显效17例(53.1%),有效8例(25.0%),无效7例(21.9%)。无严重并发症发生。结论经皮穿刺O2O3混合气体注射术是治疗颈椎间盘突出症的1种安全和有效的方法。

Objective To evaluate the security and therapeutic effect for the treatment of cervical disc herniation with O2-O3 mixture. Methods Thirty-two patients with cervical herniated discs verified by MRI were selected in study, and all patients presented the symptoms of upper limb, cervical and shoulder areas pain. The procedure was guided by DSA and their puncture route was defined as the right common cervical artery and trachea clearance. 1.5 -3.0 ml O2-O3 mixture gas at （30 -50） μg/ml was injected into every herniated disc space and 3 -5 ml mixture gas was injected in paraspinal space. Results Thirty-two patients were followed up from 3 to 32 months after treatment. The therapeutic effect showed that 17 cases （53.1%） had excellent recovery, 8 cases （25. 0% ） had significant relief of symptoms, and 7 cases （21.9%） got failure in treatment. No serious complication occurred. Conclusion The therapeutic method developed by using O2-O3 mixture injection in cervical intradiscal space was a safe and effective method for the treatment of the cervical disc herniation.