联合介入治疗腰椎间盘突出症230例回顾性分析

Retrospective Analysis on Combined Interventional Therapy in the Treatment of Lumbar Disc Herniation for 230 Cases

目的分析CT引导下渐进式多靶点射频热凝术联合臭氧融核术治疗LDP的临床疗效及远期治疗效果。方法通过回访我科于2012年8月—2015年2月,采用CT引导下渐进式多靶点射频热凝术联合臭氧融核术治疗LDP患者230例,术后7天、30天、90天、180天不同阶段的疗效及病情变化情况,并做统计学处理。结果术后7d、30d、90d、180d患者的VAS、ODI评分均较术前明显下降,术后总有效率分别达到92.17%、95.65%、96.08%、94.78%。结论 CT引导下渐进式多靶点射频热凝术联合臭氧融核术治疗LDP,术中定位精确,避免了术中反复穿刺导致的二次损伤,患者痛苦少,术后患者病情改善明显,远期疗效好,值得进一步推广和应用。

Objective To analyze the clinical and long- term therapeutic effect of CT guided by Progressive multi target radiofrequency thermal coagulation combined with ozone melt nuclear in the treatment of LDP. Method Through a return visit on 230 cases of patients with LDP adopted CT guided by Progressive multi target radiofrequency thermal coagulation combined with ozone melt nuclear in our department from August 2012 to February 2015,after 7 days,30 days,90 days and 180 days,the curative effect of different stages and the condition changes were observed,and was made statistics processing. Results After operation of 7 d,30 d,90 d and 180 d,the VAS and ODI scores declined obviously,the postoperative total effective rate reached 92. 17%,95. 65%,96. 08% and 94. 78%,respectively.Conclusion CT guided by Progressive multi target radiofrequency thermal coagulation combined with ozone melt nuclear in the treatment of LDP has intraoperative localization precision,avoid the intraoperative secondary lesions caused by repeated puncture,less pain,the patient＇s condition improved obviously,and the long- term curative effect is good. It is worthy of further promotion and application.