腰椎间盘突出症介入微创治疗的应用研究

The study of two needles and two roads interventional minimally invasive to treat LIDP

目的:观察三种介入微创疗法治疗腰椎间盘突出症的临床疗效。方法:将2008年1月1日～2010年6月31日接诊的240例腰椎间盘突出症患者随机分成3组。单纯应用后路、侧后路及后路+侧路联合介入微创治疗腰椎间盘突出症。各组治疗前后腰腿疼痛情况用VAS评估。参照日本骨科学会(JOA)1984年制定的腰腿痛疗效标准(29分法)评价各组临床治疗效果。结果:治疗前各组间VAS评分差异无统计学意义;治疗后VAS评分后路+侧路联合组明显低于其他两组,单纯应用后路、侧路组VAS评分差异无统计学意义。近中期JOA评分及优良率联合组后路+侧路单纯应用后路、侧路组比较差异无统计学意义。结论:后路+侧路联合临床疗效注射组明显优于其他两组,单纯应用后路或侧路无明显差异。治疗前严格对每例患者进行查体;同时认真分析CT或MRI影像资料,采用个体化剂量治疗。

Objective：To compare the clinical effect of three interventional minimally invasive the treatment of LIDP.Methods：The total of 240 patients was divided into 3 group randomly,under DSA guidance by back road、sider road and both back and sider roads intervertebral injection of ozone to treat LIDP respetively.Before and after treatment,VAS was used to evaluate the backleg pain of LIDP patients.Results：The VAS score in conbination back and sider roads group was obviously below to other groups and no significant deviation was found between back road and sider road group.Conclusion：The clinical effect of conbination back and sider roads group has an advantage to back road group and sider road group in the treatment of LIDP.