五例原发性腰椎间盘炎的臭氧治疗分析

CT-guided ozone injection for the treatment of primary lumbar discitis:a therapeutic analysis of five cases

目的评价CT引导下用臭氧治疗腰椎间盘炎的临床价值。方法 2010年3月-2011年3月,对5例腰椎间盘炎患者进行CT引导下臭氧治疗。症状出现1～8个月,平均3个月。采用椎间盘后外侧入路,即安全三角入路,或小关节内侧入路。CT扫描确定针尖位于椎间盘中心后,缓慢注入臭氧过程中,观察患者的疼痛反应及CT监视臭氧分布情况,并注入治疗剂量的臭氧。结果 5例腰椎间盘患者均完成CT引导下用臭氧行治疗,采用Mac-Nab腰痛痛评价,5例均获显效。结论 CT引导下用臭氧行腰椎间盘炎的治疗是有效方法。缩短卧床时间,减少抗菌药物的使用。

Objective To assess the clinical value of ozone injection under CT guidance in treating primary lumbar discitis. Methods During the period from March 2010 to March 2011, CT-guided ozone injection was carried out in five patients with primary lumbar discitis. The interval between the appearing of symptoms and the treatment ranged from one to eight months, with a mean of three months. The puncturing was performed via posterolateral access of the intervertebral disc, so-called the safe triangle access, or via the medial access of the articular facet. CT scanning was carried out first to determine that the puncture needle was right in the center of the intervertebral disc. During the coupe of the slow injection of ozone, the patient was kept under close observation for any sings of pain, the distribution of the ozone was carefully watched and suitable dose of ozone was injected. The clinical results were analyzed. Results CT-guided ozone injection was successfully accomplished in all five patients with primary lumbar discitis. Based on the Mac- Nab criteria for the evaluation of backache, excellent effectiveness was obtained in all five patients. Conclusion For the treatment of primary lumbar discitis, CT-guided ozone injection is very effective. This therapy can shorten the time to keep the patient in recumbent position and can also reduce the use of antibiotics.