射频热凝靶点消融术联合臭氧注射治疗腰椎间盘突出症的疗效

Clinical effects of radiofrequency thermocoagulation targets catheter ablation plus ozone injection on lumbar disc disease

目的:观察射频热凝靶点消融术联合臭氧注射治疗腰椎间盘突出症的疗效。方法:选择86例有临床症状,并经MRI或CT检查确诊为腰椎间盘突出症的患者,分析其临床症状、体征、影像学资料,确定责任间盘及靶点位置,在CT的引导下穿刺到靶点,进行射频热凝靶点消融术联合臭氧注射治疗。于术后6个月进行疗效评价。结果:86例随访6个月,根据改良的Macnab标准评定疗效:优62例,良12例,可8例,差4例,无并发症出现。结论:射频热凝靶点消融术联合臭氧注射是治疗腰椎间盘突出症的一种安全有效的方法。

Objective： To observe clinical effects of radiofrequency thermocoagulation targets catheter ablation plus ozone injection on lumbar disc disease. Methods： 86 patients with lumbar disc herniation diagnosed by MRI or CT were selected. By analyzing the clinical symptoms, signs and imaging data, the responsibility of lumbar disc and the target position were determined. Under the guidance of CT, patients received radiofrequency thermocoagulation targets catheter ablation plus ozone injections. In 6 months, efficacy was evaluated. Results 86 cases were followed up for 6 months. Efficacy was evaluated according to a modified Macnab standard： 62 cases was excellent; 12 cases were better; 8 cases were effective; 4 cases were poor. There were no complications. Conclusion： Radiofrequency thermocoagulation targets catheter ablation plus ozone injection were effective and safe on lumbar disc disease.