C臂导向经皮穿刺注射臭氧治疗腰椎间盘突出症58例疗效观察

Observation of curative effects of percutaneous injection of ozone for lumbar disc herniation by C-arm guidance:Report of 58 cases

目的探讨经皮穿刺注射臭氧治疗腰椎间盘突出症的疗效。方法 58例患者在C臂引导下行病变椎间盘盘内穿刺,盘内和椎旁注射臭氧,术后随访6～12个月。结果根据改良的Macnab疗效评定标准评定:优27例,良19例,可10例,差2例,优良率为79.3%(46/58),总有效率为96.6%(56/58)。结论 C臂导向经皮穿刺注射臭氧治疗腰椎间盘突出症,效果满意,且操作方便,对病人创伤小,医疗成本低,值得推广。

Objective To evaluate the treatment effect of percutaneous injection of ozone for lumbar disc herniation. Methods Fifty-eight patients with lumbar disc herniation received the C-arm guided puncture of herniated lumbar disc and intradiseal and paravertebral injection of ozone. All the patients were followed up for 6 - 12 months. Results According to the modified Macnab＇ s criteria, excellent effect was found in 27 cases, good in 19 cases, effective in 10 cases and poor in 2 cases. The excellent and good rate was 79.3% （46/58）. The total effective rate was 96.6% （56/58）. Conclusion This method in the treatment of lumbar disc herniation has advantages of satisfactory therapeutic effect, simple operation,less demage and lower cost, and is worthy of popularization and application.