射频热凝联合臭氧消融治疗腰椎间盘突出症的临床研究

Clinical Study of Radiofrequency combined with Ozone Ablation for Lumbar Disc Herniation

目的比较射频热凝联合臭氧消融与单纯臭氧消融治疗腰椎间盘突出症临床效果。方法回顾性分析笔者医院采取射频热凝联合臭氧消融法和单纯臭氧消融法治疗的腰椎间盘突出症患者各70例,选择性分为治疗组(射频热凝联合臭氧消融组)和对照组(臭氧消融组)。治疗后采用MacNab法评定两组患者的临床疗效,并测定两组患者VAS和ODI评分,以及腓总神经和胫后神经肌电图F波传导速度。结果治疗组临床疗效优于对照组。治疗后治疗组腓总神经和胫后神经肌电图F波传导速度均高于对照组,差异有统计学意义(P<0.05);治疗后两组VAS和ODI评分与治疗前比较明显降低,差异有统计学意义(P<0.05);治疗后治疗组VAS和ODI评分明显低于对照组,差异有统计学意义(P<0.05)。结论射频热凝联合臭氧消融可有效缓解腰椎间盘突出症患者的临床症状,改善下肢神经功能,疗效优于单纯臭氧消融治疗。

Objective To observe the clinical efficacy of radiofrequency combined with Ozone ablation in treatment of lumbar disc herniation.Methods Seventy patients with lumbar disc herniation allocated into the treatment group were treated using radiofrequency ablation in combination of Ozone ablation,while 70 patients with lumbar disc herniation allocated into the control group were treated with Ozone ablation.After completion of treatment,clinical efficacy was evaluated by MacNab method for two groups of patients; meanwhile,VAS and ODI scores were measured,as well as EMG F-wave conduction velocity of common peroneal and tibial nerves.Results Clinical efficacy of the treatment group was better than that of the control group.After termination of treatment,EMG F-wave conduction velocity of Peroneal nerve and posterior tibial nerve of the treatment group were higher significantly （P ＜ 0.05） than those of the control group.VAS and ODI scores of the treatment group were significantly lower compared with the control group （P ＜ 0.05）.After complement of treatment,VAS and ODI score of both groups was significantly lower than that of pre-treatment （P ＜ 0.05）.Conclusion Radiofrequency in combination with Ozone ablation can effectively alleviate symptoms in patients with lumbar disc herniation,and improve lower extremity nerve function.Moreover,it is more effective than pure ozone ablation.