靶位注射胶原酶治疗腰椎间盘突出症

Target－injection of collagenase for the treatment of intervertebral disk hernia tion

目的为提高盘外注射胶原酶治疗腰椎间盘突出症的准确性、安全性和成功率，设计出 靶位注射法。方法用特制靶针自定位点穿刺，将靶针准确地送到靶位即椎间盘突出部位，判 断无误后缓慢注射胶原酶。结果应用靶位穿刺250例次，仅1次失败。应用靶位注射胶原酶溶 盘术治疗腰椎间盘突出症154例，优良率达85.1％，有效率达94.2％，无效9例，占5.8％。 结论靶位注射胶原酶溶盘术治疗腰椎间盘突出症，定位准确、应用安全、方法简便、疗效显 著。

Objective To improve accuracy, safety and cure rate of collagenase inje ction with extra－disk for the treatment of intervertebral disk herniation,A new target－injection method was designed.Method After all tests were estimated the collagenase was injected slowly.Result A total of 250 time target－injections w ere operated. All were success except 1 case failed. 154 cases accepted the trea tment of the collagenase target－injection. The effective rate was 94.2％. 85.1 ％cases obtained excellent or good results. 9 cases failed( 5.8％).Conclusion Th e target－injection method of collagenase is effective, safe, accurate and conve nient for the treatment of intervertebral disk herniation.