等离子射频消融术联合臭氧注射术治疗腰椎间盘突出症的临床效果评价

Clinical effect evaluation of plasma radiofrequency ablation combined with ozone injection technology in the treatment of LDH

目的对比分析腰椎间盘突出症(LDH)患者应用等离子射频消融术联合臭氧注射术进行治疗的临床效果。方法回顾性分析2017年3月至2020年12月镇江市第四人民医院收诊的24例LDH患者,将其按照治疗方法分为对照组和观察组,各12例。对照组患者采用等离子射频消融术治疗,观察组患者在对照组基础上联用臭氧注射术治疗。对比两组患者的视觉模拟评分法(VAS)评分、术后腰椎功能障碍指数(ODI)评分、治疗优良率和不良反应发生率。结果观察组患者治疗7 d、1个月、3个月后的VAS疼痛评分均低于对照组(P<0.05);观察组患者在术后1个月、3个月的ODI评分均低于对照组(P<0.05);观察组患者术后6个月的治疗优良率显著高于对照组(P<0.05)。结论等离子射频消融术联合臭氧注射术有助于缓解LDH患者腰腿痛症状,改善患者腰椎功能,值得临床推广。

Objective To compare and analyze the effect of plasma radiofrequency ablation combined with ozone injection technology in the treatment of lumbar disc herniation(LDH).Methods The clinical data of 24 LDH patients from March 2017 to December 2020 of Zhenjiang Fourth People's hospital were analyzed retrospectively.According to the treatment method,they were divided into control group and observation group,12 cases in each group.Patients of the control group were treated by plasma radio frequency ablation and patients of the observation group were treated by ozone injection technology on the basis of the control group.And the visual analogue score(VAS),the postoperative lumbar dysfunction index(ODI),good rate of treatment and incidence of adverse reactions were compared.Results The VAS pain scores of the observation group after 7 days,1 month and 3 months of treatment were lower than those of the control group(P<0.05);the ODI of the observation group was lower than that of the control group at 1 and 3 months after operation(P<0.05);the total effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion The combination of plasma radio frequency ablation and ozone injection technology is effective in LDH,which is helpful to alleviate the symptoms of lumbago and leg pain and improve the lumbar function of patients,which is worthy of clinical promotion.