经皮髓核摘除与射频热凝靶点消融、臭氧溶核术联合个体化治疗腰椎间盘突出症的临床研究

Clinical Studies of Combined and Individualized Treatments with Percutaneous Extraction , Radio Frequency Heat Coagulation Target Ablation and Ozone Chemonucleolysis on Lumbar Intervertebral Disc Protrusion

目的:探讨经皮髓核摘除和射频热凝靶点消融及臭氧联合个体化治疗腰椎间盘突出症的临床疗效。方法:根据患者髓核突出部位及程度的不同,结合患者症状特点选择联合或单用经皮髓核摘除术(A)、射频热凝靶点消融术(B)、臭氧溶核术(C)治疗腰椎间盘突出症205例。结果:连续随访12个月,经3种治疗方法选择性联合治疗后,疗效显著,采用VAS及MacNab评分标准,与术前相比症状明显缓解(P<0.05),总有效率达85.6%。结论:根据患者髓核突出部位及程度的不同,结合患者症状特点选择联合或单用经皮髓核摘除术、射频热凝靶点消融术、臭氧溶核术治疗腰椎间盘突出症,具有安全、高效、减少患者痛苦等优点,是治疗腰椎间盘突出症的有效方法。

Objective:To study the clinical curative effect of combined and individualized treatments with percutaneous extraction(A),radio frequency heat coagulation target ablation(B) and ozone chemonucleolysis(C) on lumbar intervertebral disc protrusion.Methods:Depending on the degrees and locations of lumbar disc protrusion,above treatments of A,B and C were selected singly or combined for 205cases of lumbar disc prolapse.Results:According to follow-up of 1day to 12 months,the curative effect was distinct because three treatment methods were selectively combined.With VAS and MacNab criteria,symptoms were eased significantly(P <0.05) compared with the preoperative and the total effective rate was 85.6%.Conclusion:According to the sites and types of lumbar disc,selective or combined application of percutaneous extraction,radio frequency targets ablation of heat coagulation and ozone chemonucleolysis in the treatment of lumbar intervertebral disc protrusion includes advantages such as safety,effectiveness and decreasing patients'pain,etc.