等离子刀联合臭氧髓核消融术治疗腰椎间盘突出症的疗效分析

Analysis of curative effect by plasma knife combined with ozone nucleoplasty in the treatment of protrusion of lumbar intervertebral disc

目的探讨等离子刀联合臭氧髓核消融术治疗腰椎间盘突出症的临床疗效。方法 68例腰椎间盘突出症患者随机分为对照组和观察组,各34例。对照组患者接受等离子刀髓核消融术治疗,观察组患者接受等离子刀联合臭氧髓核消融术治疗。采用疼痛视觉模拟评分法(VAS)评估治疗前后腰腿痛程度,比较两组治疗前后VAS评分及治疗后的临床效果。结果两组治疗前及术后1个月VAS评分比较差异无统计学意义(P>0.05),术后12个月观察组VAS评分明显小于对照组(P<0.05)。观察组患者治疗后优良率明显高于对照组(94.12%vs 70.59%,χ2=6.476,P<0.05)。结论等离子刀联合臭氧髓核消融术治疗腰椎间盘突出症疗效优于单纯的等离子刀治疗,值得在临床中推广应用。

Objective To investigate clinical effect by plasma knife combined with ozone nucleoplasty in the treatment of protrusion of lumbar intervertebral disc. Methods A total of 68 patients with protrusion of lumbar intervertebral disc were randomly divided into control group and observation group, with 34 cases in each group. The control group received plasma knife nucleoplasty for treatment, and the observation group received plasma knife combined with ozone nucleoplasty for treatment. Visual analogue scale （VAS） was applied to evaluate pain degree in waist and legs before and after treatment. Comparison was made on VAS scores and clinical effects between the two groups before and after treatment. Results There was no statistically significant difference of VAS scores between the two groups before treatment and in 1 month after treatment （P〉0.05）. The observation group had obviously lower VAS score in 12 months after treatment than the control group （P〈0.05）. Postoperative good rate was much higher in the observation group than the control group （94.12% VS 70.59%,χ^2=6.476, P〈0.05）. Conclusion Combination of plasma knife and ozone nucleoplasty shows better curative effect than single plasma knife in treating protrusion of lumbar intervertebral disc, and this method is worth clinical promotion and application.