单纯等离子射频消融术与等离子射频消融结合臭氧术治疗腰椎间盘突出症的不同疗效

发布时间：2018-12-13 11:11

【摘要】：目的:比较单纯等离子射频消融术与等离子射频消融结合臭氧术治疗腰椎间盘突出症的临床不同疗效。方法:本研究病例来源均为山西医科大学第二医院骨科住院治疗腰椎间盘突出症的患者,就诊时间为2013年10月至2014年9月。在符合腰椎间盘突出症诊疗标准及纳入标准的患者中,选取40例腰椎间盘突出症患者为研究对象(所有研究对象的操作均由同一医师完成),分为两组:等离子射频消融结合臭氧治疗组(A组,20例)、单纯等离子射频消融治疗组(B组,20例)。分别对患者术前、术后1周、1个月、3个月、6个月进行Macnab评定和VAS评分,比较、分析2种方法的疗效。结果:1、Macnab评定标准:1周后,A组优良率为75%,B组优良率为55%;1个月后,A组优良率为85%,B组优良率为60%;3个月后,A组优良率为90%,B组优良率为60%;6个月后,A组优良率为95%,B组优良率为65%。经卡方检验,两组之间优良率比较,1周和1个月,3个月χ2值分别为0.11(P0.05),0.06(P0.05),0.03(P0.05)差别无统计学意义,六个月χ2值为0.02(P=0.04),差别有统计学意义。2、VAS评分:A组术前VAS评分8.15±1.42、术后1周为2.75±0.55、术后1个月为2.35±0.49、术后3个月为1.80±0.41、术后6个月为1.17±0.51,术前和术后6个月经配对t检验,P0.05,差异有统计学意义。B组术前VAS评分为7.90±1.29,术后1周为3.00±0.46、术后1个月为2.6±0.75、术后3个月为1.95±0.60、术后6个月为1.54±0.60,术后6个月和术前经配对t检验,P0.05,差异有统计学意义。A组与B组比较术前、术后1周、1个月VAS评分t检验(P0.05),差异无统计学意义;术后3个月和6个月(P0.05),均有统计学意义。结论:等离子射频消融结合臭氧术治疗腰椎间盘突出症较单纯等离子射频消融术治疗椎间盘突出症疗效更加显著,且中远期疗效更稳定。
[Abstract]:Objective: to compare the clinical effects of plasma radiofrequency ablation (RFA) and radiofrequency ablation (RFA) combined with ozone in the treatment of lumbar disc herniation. Methods: all the patients were admitted to the Department of Orthopaedics of the second Hospital of Shanxi Medical University for lumbar disc herniation from October 2013 to September 2014. Of the patients who met the criteria for diagnosis and treatment of lumbar disc herniation, 40 patients with lumbar disc herniation were selected as subjects (all subjects were operated by the same physician). They were divided into two groups: plasma radiofrequency ablation combined with ozone therapy group (group A, 20 cases) and simple plasma radiofrequency ablation group (group B, 20 cases). The patients were evaluated with Macnab and VAS before operation, 1 week, 1 month, 3 months and 6 months after operation. Results: 1 Macnab evaluation standard: after 1 week, the excellent and good rate of group A was 75 and that of group B was 550.After one month, the excellent and good rate of group A was 85 and that of group B was 60. After 3 months, the excellent and good rate of group A was 90 and that of group B was 600.After 6 months, the excellent and good rate of group A was 95 and that of group B was 65. After chi-square test, the excellent and good rates of the two groups were 0.11 (P0.05), 0.06 (P0.05), 0.03 (P0.05), respectively. The VAS score of group A was 8.15 卤1.42 before operation, 2.75 卤0.55 at 1 week after operation and 2.35 卤0.49 at 1 month after operation. It was 1.80 卤0.41 in 3 months after operation and 1.17 卤0.51 in 6 months after operation. There was a significant difference between pre-and post-operative menses matching t test (P0.05). The preoperative VAS score of group B was 7.90 卤1.29, and that of group B was 3.00 卤0.46 at 1 week after operation. It was 2.6 卤0.75 in 1 month, 1.95 卤0.60 in 3 months, 1.54 卤0.60 in 6 months after operation. The difference was statistically significant between group A and group B by paired t test at 6 months and before operation (P 0.05). After 1 week, 1 month VAS score t test (P0.05), the difference was not statistically significant; Postoperative 3 months and 6 months (P0.05), there was statistical significance. Conclusion: plasma radiofrequency ablation combined with ozone in the treatment of lumbar disc herniation is more effective than plasma radiofrequency ablation alone in the treatment of disc herniation.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3

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