CT引导经皮髓核旋切术联合臭氧注射治疗腰椎间盘突出症的疗效观察

发布时间：2018-06-03 05:34

本文选题：椎间盘移位 + 斑块切除术　；参考：《中国介入影像与治疗学》2017年05期

【摘要】：目的探讨经皮髓核旋切术联合臭氧注射治疗腰椎间盘突出症的临床疗效。方法将我院收治的60例腰椎间盘突出症患者随机分成臭氧治疗组、经皮旋切治疗组和经皮旋切术联合臭氧治疗组,每组20例。比较3组患者术前及术后1周、1个月、3个月的视觉模拟评分(VAS)的变化及临床疗效。分析术中及术后手术相关并发症。结果 3组术后VAS评分较术前均降低(P均0.017);经皮旋切术联合臭氧组近期及远期VAS评分均低于臭氧治疗组和经皮旋切治疗组(P均0.017)。但3组间近期及远期优良率无统计学差异(P均0.017)。手术相关并发症主要为腰部疼痛、下肢酸胀及疼痛。结论经皮髓核旋切术联合臭氧注射治疗腰椎间盘突出症可提高手术疗效,是一种安全有效的方法。
[Abstract]:Objective to investigate the clinical effect of percutaneous nucleus pulpotomy combined with ozone injection in the treatment of lumbar disc herniation. Methods 60 patients with lumbar disc herniation in our hospital were randomly divided into ozone treatment group, percutaneous rotary resection group and combined ozone treatment group with 20 cases in each group. The changes of visual analogue score (VAS) and its clinical efficacy were compared before and 1 week, 1 month and 3 months after operation. The operative complications were analyzed during and after operation. Results the VAS scores of the three groups were lower than those of the preoperative ones (P < 0.017), and the short-term and long-term VAS scores in the percutaneous rotary operation combined with ozone group were lower than those in the ozone treatment group and the percutaneous rotary treatment group (P < 0.017). However, there was no significant difference in the short and long term excellent and good rates among the three groups (P < 0. 017). Surgical complications were mainly lumbar pain, lower extremity distension and pain. Conclusion Percutaneous nuclear pulpotomy combined with ozone injection in the treatment of lumbar disc herniation is a safe and effective method.
【作者单位】：中国人民解放军海军总医院介入医学科;中国人民解放军总医院放射科;
【分类号】：R681.5;R816.8

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