CT引导下臭氧盘内、盘外注射治疗腰椎间盘突出症62例

CT-guided ozone injection to treat lumbar disc herniation

目的观察CT引导下臭氧盘内、盘外注射治疗腰椎间盘突出症的临床效果。方法选择腰椎间盘突出症患者62例，70个椎间盘，在CT引导下行盘内穿刺注射浓度为60μg／ml的氧气一臭氧混合气体20～30ml、盘外（椎间孔）注射浓度为40μg／ml氧气一臭氧混合气体10ml，观察其治疗效果。结果62例椎间盘突出症患者治疗3个月后随访，按照改良Macnab疗效评定标准进行评定：优25例（40．3％），良33例（53．2％），差4例（6．5％），优良率93．5％，未出现1例骨髓、神经、硬膜囊、血管、肠管损伤等严重并发症。结论CT引导下臭氧盘内、盘外注射治疗腰椎间盘突出症，具有定位准确、操作简单、安全可靠、痛苦小、并发症少、恢复快、费用少、效果佳等优点，是治疗腰椎间盘突出症的良好介入治疗方法之一，具有一定的推广价值。

Objective To observe results of injection treatment of lumbar disc herniation inside and outside. Methods 70 discs of 62 patients with lumbar disc herniation were treated with oxygen - ozone gas inside and outside guided by CT. The therapeutic effect was assessed with the standards MauVab. Results 62 patients with disc herniation were followed-up 3 months after the treatment. There were 25 cases （41.1%） with excellent results, 33 cases （53.2%） with good results and 4 cases （6.9%） with poor results, which were without any case of bone marrow, nerves, dural sac, blood vessels, bowel injury, and other serious complications. The excellent rate was of 93.1%. Conclusion The treatment is an ideal method for lumbar disc herniation with the promotion of a certain value.