CT引导臭氧治疗椎间盘突出合并急性肌纤维炎的临床应用

Application of CT guided ozone therapy in the treatment of lumbar disc herniation complicated with acute muscle fiber

目的探讨CT引导臭氧（O3）消融术治疗椎间盘突出症合并急性肌纤维炎的适应症、消融方法,并判断其疗效。方法 112例椎间盘突出症合并急性肌纤维炎行CT引导下O3消融治疗,其中颈椎间盘11例,腰椎间盘101例。结果本组病例随访1~12月。近期疗效急性疼痛消失65例,疼痛级别降低1~2级47例,有效率100%。远期疗效明显82例,有效26例,无效4例,总有效率达96.4%。无出现明显的并发症。结论 CT引导O3消融术治疗椎间盘突出症合并急性肌纤维炎效果明显,操作简便,定位准确,严格掌握适应症及消融方法对提高短期疗效及长期疗效有着重要的意义。

Objective To investigate the indications and ablation methods of CT guided ozone therapy in the treatment of lumbar disc herniation with acute muscle fiber,and to judge the curative effect. Methods CT guided ozone therapy was performed in112 patients with lumbar disc herniation complicated with acute muscle fiber. Among them,11 cases of cervical intervertebral disc and 101 cases of lumbar intervertebral disc were treated. Results The patients were followed up for 1 ~ 12 months. The recent efficacy of acute pain disappeared in 65 cases,the pain level of 47 cases lower to 1 ~ 2,the effective rate was 100%. Long term curative effect was obvious in 82 cases,effective in 26 cases,ineffective in 4 cases,the total effective rate was 96. 4%. There were no obvious complications. Conclusion CT guided ozone treatment of intervertebral disc herniation with acute muscle inflammation effect obviously has the advantages of simple operation,accurate positioning. Strictly grasping the indications and ablation method has important significance has important significanle in impruving the short-term and lorg-oerm curative effect.