单纯等离子射频消融术与等离子射频消融结合臭氧技术治疗腰椎间盘突出症的疗效分析

Combination of radiofrequency ablation and ozone technology as treatment on lumbar disc herniation

目的探究等离子射频消融术结合臭氧技术治疗腰椎间盘突出症相较于单纯等离子射频消融术治疗的临床疗效。方法选取我院2016年6月~2017年6月收治的62例腰椎间盘突出症患者,分观察组和对照组,每组患者31例,其中对照组采用单纯等离子射频消融术进行治疗,观察组采用等离子射频消融结合臭氧消融术治疗,对两组患者手术前及手术后6个月的VAS评分、Macnab标准情况、胫后神经和腓总神经肌电图F波传导速度进行比较。结果治疗后1、3、6个月,两组患者VAS评分均显著降低(P<0.05),且观察组显著低于对照组(P<0.05)。通过Macnab标准比较发现,观察组在治疗后1个月、3个月的临床疗效显著优于对照组(P<0.05),而在治疗后6个月疗效比较差异无统计学意义(P>0.05)。治疗6个月后观察组患者胫后神经和腓总神经肌电图F波传导速度显著高于对照组,差异比较具有统计学意义(P<0.05)。结论采用等离子射频消融结合臭氧消融术治疗腰椎间盘突出症疗效确切,能够显著降低患者术后疼痛,改善腰椎及下肢的神经传递。

Objective To explore the clinical effects of plasma radiofrequency ablation combined with ozone technology to treat lumbar disc herniation. Methods Sixty-two patients with Lumbar disc herniation were selected and underwent surgical treatment in our hospital from June 2016 to June2016,in which 31 cases received the management of combination of radiofrequencyablation and ozone technology(observation group)and other 31 were treated with radiofrequencyablation along(control group). VAS score,Macnab criteria were recorded. F-wave and electromyography on posterior tibial nerve and sural total neuromuscular electrical figure were recorded and analyzed. Results In the first,third and sixth months after treatment,the VAS score of both groups decreased significantly(P<0.05),and the observation group was significantly lower than the control group(P<0.05). By Macnab criteria,the patients of observation group in the first,third month after treatment had the better clinical effects than that of control group(P<0.05),while in sixth month after treatment there was no statistical difference(P>0.05). After 6 months of treatment,the velocity of F-wave was significantly higher than that in the control group(P<0.05). Conclusion The treatment of lumbar intervertebral disc herniation by radiofrequency ablation combined with ozone ablation can significantly reduce postoperative pain and improve the nerve transmission of lumbar spine and lower limb.