杜鹏,肖越勇,卢伟.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[J].中国介入影像与治疗学,2017,14(5):266-269
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
Efficacy of CT guided percutaneous nucleus pulposus atherectomy combined with ozone injection in treatment of lumbar disc herniation
投稿时间:2016-12-14  修订日期:2017-02-22
DOI:10.13929/j.1672-8475.201612013
中文关键词:  椎间盘移位  斑块切除术  臭氧  髓核
英文关键词:Intervertebral disk displacement  Atherectomy  Ozone  Nucleus pulposus
基金项目:
作者单位E-mail
杜鹏 中国人民解放军海军总医院介入医学科, 北京 100048  
肖越勇 中国人民解放军总医院放射科, 北京 100853  
卢伟 中国人民解放军海军总医院介入医学科, 北京 100048 luwei6702@126.com 
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中文摘要:
      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。
英文摘要:
      Objective To explore the efficacy of percutaneous nucleus pulposus atherectomy combined with ozone injection in treatment of lumbar disc herniation. Methods A total of 60 patients with lumbar disc herniation were randomly divided into 3 groups: 20 patients were treated by ozone injection (group A), 20 patients were treated by percutaneous atherectomy (group B), 20 patients were treated by percutaneous atherectomy combined with ozone injection (group C). The changes of visual analogue scale (VAS) and clinical effects in three groups pre-and 1 week, 1 month and 3 month postoperation were compared. Intraoperative and postoperative complications were analyzed. Results The VAS of postoperation in three groups were significantly lower than those of preoperation (all P<0.017). The short term and long term VAS of group C were lower than those of group A and group B (all P<0.017). But there was no statistically significant difference among three groups of recent and long-term excellent rates (all P>0.017). related complications were mainly waist pain, lower limb soreness and pain. Conclusion Percutaneous nucleus pulposus atherectomy combined with ozone injection is a safe and effective method, which can improve the curative effect of operation.
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