射频热凝术联合臭氧注射治疗腰椎间盘突出症伴勃起功能障碍的临床研究

Clinical efficacy of radiofrequency thermocoagulation with ozonator injector in treatment of lumbar disc herniation with erectile dysfunction

目的探讨腰椎间盘突出症（LIDH）伴勃起功能障碍（ED）的病因及发病率，并观察射频热凝术联合臭氧注射治疗本病的临床疗效。方法对109例LIDH伴ED患者，进行射频热凝术联合臭氧注射治疗，3个月后门诊随访；通过视觉模拟评分（VAS）、国际勃起功能评分（IIEF-5）评分比较治疗前、后差异性；采用MacNab标准、IIEF-5积分进行疗效分析。结果109例LIDH伴ED患者，治疗后VAS、IIEF-5评分与治疗前比较，差异具有统计学意义（P〈0．05）；治疗后采用MacNab标准评定LIDH有效102例（93．58％），IIEF-5积分评定ED有效100例（91．74％），且未见明显不良反应。结论LIDH引发的ED可能是由神经性和心理性等因素所造成，且发病率较高；运用射频热凝术联合臭氧注射治疗LIDH安全有效，且可明显改善患者的勃起功能障碍。

Objective To investigate the pathogenesis and morbidity of the Lumbar Intervertebral Disc Herniation （LIDH） complicated with Erectile Dysfunction （ED）, and evaluate the clinical efficacy of radiofrequency thermocoagulation （RFTC） and ozonator injector. Methods Total of 109 LIDH patients with ED, diagnosed by IIEF-5, were treated by RFTC combining with ozonator injector. Three months later, they were followed-up. The VAS and IIEF-5 scores were recorded before and after treatment. MacNab standards and IIEF- 5 were comparatively analyzed. Results There were significant differences in VAS and IIEF-5 between pretreatment and posttreatment. After the treatment, 102 LIDH cases accounting for 93.58% had good outcomes based on MacNab standards score, and 100 ED cases, accounting for 91.74%, had good outcomes based on IIEF-5 score. No obvious side effects were found. Conclusion ED induced by LIDH was likely associated with neuropathic and psychogenic factors. The morbidity of ED was high in LIDH patients. RFTC combining with ozonator injector was an effective method for treatment of LIDH with ED.