激光加臭氧联合治疗椎间盘源性下腰痛初步研究

Preliminary report for treatment of discogenic low back pain with combined percutaneous laser and O_2-O_3 mixture

目的:评价联合应用经皮穿刺激光加臭氧对椎间盘源性下腰痛的治疗效果。方法:椎间盘源性下腰痛患者48例,男32例,女16例;年龄21～66岁,平均43.5岁;病程6个月以上。所有病例均在X线电视导向下联合应用经皮穿刺激光髓核消融加臭氧治疗。结果:术后随访无严重并发症发生。根据Macnab腰腿痛手术评价标准,术后1周时优8例,良28例,可8例,差4例,优良率75%;3个月时优17例,良23例,可6例,差2例,优良率83.3%;6个月时优20例,良22例,可4例,差2例,优良率87.5%;12个月时优21例,良22例,可4例,差1例,优良率89.6%。结论:联合应用经皮穿刺激光加臭氧治疗椎间盘源性下腰痛的疗效确切。

Objective： To evaluate the efficacy of pereutaneous laser and O2-O3 mixture in treating chronic discogenic low back pain. Methods：There were 48 patients included 32 male and 16 female with the mean age of 43.5 years（range ,from 21 to 66 years）. The duration of symptoms was more than 6 months ,all patients were treated with pereutaneous laser and O2-O3 mixture under TV monitoring. Results： Forty-eight patients followed-up showed no severe complications. At 1 week follow up, 8 cases were evaluated as excellent,28 as good, 8 as fair and 4 as poor by Macnab standard. The excellent and good rate reached 75%. At 3 months follow up, 17 cases were evaluated as exceUent,23 as good,6 as fair and 2 as poor with the excellent and good rate of 83.3%. At 6 months follow up ,20 cases were evaluated as excellent,22 as good,4 as fair and 2 as poor with a total effective rate of 87.5%. At 12 months follow up ,21 cases were evaluated as excellent,22 as good,4 as fair and 1 as poor with a total effective rate of 89.6%. Conclusion：Combined pereutaneous laser and O2-O3 mixture is an effective and safe method in treating discogenic low back pain.