CT引导髓核旋切减压术联合臭氧治疗腰椎间盘突出症的疗效观察

Clinical application of decompressor combined ozone injection in treating lumbar disc herniation

目的观察经皮髓核旋切减压联合臭氧注射治疗腰椎间盘突出症的疗效。方法 96例包容性腰椎间盘突出症患者随机分为两组,在CT引导下,A组48例应用Dekompressor髓核旋切器,经后外侧穿刺入路,行髓核旋切腰椎间盘减压术,然后经穿刺针管向盘内、外注入臭氧;B组48例单纯行盘内外注入臭氧。通过治疗前和治疗后VAS评分、止痛药使用情况及治疗后三个月有效率来评价两组临床疗效。结果两组治疗后VAS评分、止痛药使用评分均较治疗前明显降低(P<0.05),术后3个月随访,A组显效率(81.25%)、有效率(91.67%)均高于B组(60.41%、77.08%)(P<0.05)。两组均无明显并发症。结论经皮Dekompressor髓核旋切减压和臭氧注射联合治疗腰椎间盘突出症疗效满意。

Aim To investigate the clinic technique and effect of treating lumbar disc herniation with decompressor combined ozone injection.Methods 96 contained LDH patients were randomly divided into two groups：decompressor combined ozone group and ozone group.Under the guidance of CT,forty-eight patients in group A were treated by disc decompression with Dekompressor through poster olateral approach,then ozone was injected into the lumbar disc or outside the lumbar disc,and the other forty-eight patients in group B were injected with medical ozone into the disc and paravertebral space.The theraputic effect was evaluated by comparing VAS,the scores of taking painkillers and effective rate of therapy before and after treatment.Results The VAS and the score of taking painkillers of two groups between pre-and post-treatment were significantly different（P〈0.05）.96 cases were followed up after 3 months.The marked effective rate was 81.25% in group A,60.41% in group B.The total effective rate was 91.67% in group A,77.08% in group B.The marked effective rate and the total effective rate were higher in group A than that in group B（P〈0.05）.Respectively,no evident complication occurred.Conclusion Decompressor combined ozone injection is an effective method for treatment of the lumbar disc herniation.