物理治疗防治腰椎间盘突出臭氧消融术后症状“反跳”

Physical therapy in prevention of postoperative symptom setback of ozone ablation of lumbar herniation

目的探讨物理治疗防治腰椎间盘突出臭氧消融术后症状"反跳"的效果。方法腰椎间盘突出患者80例,随机分为观察组和对照组各40例,均行CT引导下臭氧消融治疗。观察组患者术后3天起采取超短波和半导体激光联合物理治疗,对照组不进行物理治疗,术后1个月采用改良Macnab法对两组患者的疗效及症状反跳情况进行评价。结果观察组患者术后1个月显效35例(87.50%),有效5例(12.50%),反跳1例;对照组显效30例(75.00%),有效8例(20.00%),无效2例(5.00%),反跳5例;两组结果具有极显著性差异(χ2检验,P<0.01)。结论臭氧消融术后辅助物理治疗不仅可提高显效率,并可减少术后症状反跳的发生。

Objective To explore the effects of physical therapy in preventing postoperative symptom setback after ozone ablation for lumbar herniation. Methods Eighty patients with lumbar disk herniation confirmed by CT or MRI were randomly divided into observation group （OG, n=40） and control group （CG, n=40）, and patients of both groups underwent CT guided ozone ablation. The patients in OG received physical therapy （ultrashort wave and semiconductor laser therapy） 3 days after ozone ablation. In CG, the patients only received lying in bed without physical therapy. Clinical outcome was assessed at 1-month point after treatment by applying the modified Maenab method. Results The excellent, good and poor clinical efficacy was 87.50% （35/40）, 12.50% （5/40） and 0% （0/40） in OG and 75.00% （30/40）, 20.00% （8/40） and 5.00% （2/40） in CG at 1-month point after treatment, respectively. The incidence rate of setback was 2.50% （1/40） in OG and 12.50%（5/40） in CG （P〈0.01）. Conclusion Physical therapy can increase the clinical efficacy and decrease the symptom setback after the ozone ablation for lumbar herniation.