双针穿刺低温等离子射频消融联合臭氧治疗腰椎间盘突出症33例临床观察

Clinical observation on 33 cases of lumbar disc herniation treated by double needle puncture low temperature plasma radiofrequency ablation combined with ozone

目的观察双针穿刺低温等离子射频消融联合臭氧治疗腰椎间盘突出症的临床疗效。方法将66例腰椎间盘突出症患者采用随机数字表法分为对照组和治疗组,各33例。对照组给予低温等离子射频消融治疗,治疗组给予双针穿刺低温等离子射频消融联合臭氧治疗,术后随访3个月,比较2组的临床疗效,以及治疗前,治疗3 d、30 d、3个月的视觉模拟评分法(VAS)评分。结果术后3 d、30 d、3个月2组VAS评分均明显降低,与同组治疗前比较差异有统计学意义(P<0.05);术后3 d 2组VAS评分比较差异无统计学意义(P>0.05),术后30 d、3个月治疗组VAS评分明显低于对照组,2组比较差异有统计学意义(P<0.05)。术后3个月,对照组优良率为78.79%(26/33),治疗组为90.91%(30/33),2组比较差异有统计学意义(P<0.05)。结论采用双针穿刺低温等离子射频消融联合臭氧治疗腰椎间盘突出症疗效显著,能明显缓解患者疼痛,作用优于单一低温等离子射频消融,值得临床推广应用。

Objective To observe the clinical efficacy of double needle puncture low temperature plasma radiofrequency ablation combined with ozone in the treatment of lumbar disc herniation( LDH). Methods Sixty-six cases of LDH were divided into control group and treatment group according to random number table method,with33 cases in each group. The control group was treated with low temperature plasma radiofrequency ablation,while the treatment group was treated with double needle puncture low temperature plasma radiofrequency ablation combined with ozone. Follow-up after operation was conducted for 3 months. The clinical efficacy and the visual analogue scale( VAS) score before treatment and 3 days,30 days and 3 months after treatment were compared between the 2 groups. Results Three days,30 days and 3 months after operation,the VAS score of the 2 groups significantly decreased,and the difference was statistically significant compared with the same group before treatment( P <0.05);3 days after operation,there was no significant difference in the VAS score between the 2 groups( P>0.05),30 days and 3 months after operation,the VAS score of the treatment group was significantly lower than that of the control group,and the difference was statistically significant between the 2 groups( P < 0. 05). Three months after operation,the excellent and good rate was 78. 79%( 26/33) in the control group and 90. 91%( 30/33) in the treatment group,there was significant difference between the 2 groups( P<0.05).Conclusion It has marked efficacy to use double needle puncture low temperature plasma radiofrequency ablation combined with ozone in the treatment of LDH,which can markedly alleviate the pain of the patients,whose curative effect is superior to that of low temperature plasma radiofrequency ablation alone. It deserves clinical promotion and application.