肖越勇,孟晓东,李继亮,陈春.CT导向下臭氧消融术治疗腰椎间盘突出[J].中国介入影像与治疗学,2005,2(4):245-248
CT导向下臭氧消融术治疗腰椎间盘突出
CT guided O3 injection for the treatment of lumbar disc herniation
投稿时间:2005-06-05  修订日期:2005-06-15
DOI:
中文关键词:  椎间盘移位  臭氧  治疗,介入性
英文关键词:Intervertebral disk displacement  Ozone  Therapy, interventional
基金项目:
作者单位
肖越勇 解放军总医院放射科,北京 100853 
孟晓东 北京房山区中医院疼痛科,北京 102400 
李继亮 山西省原平铁路医院,山西原平 034100 
陈春 吉林省四平市中心医院, 吉林四平 136000 
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中文摘要:
      目的 探讨CT导向下臭氧消融术治疗腰椎间盘突出的价值。方法 150例腰椎间盘突出于CT导向下行臭氧消融治疗。突出物为旁中央型者经神经根与硬膜囊之间穿刺突出物达盘内,突出物为外侧型者经神经根外侧、小关节突内缘穿刺突出物达盘内,分别于盘内及突出物中央注射浓度为60 μg/ml臭氧5~15 ml。结果 注射臭氧后CT扫描显示臭氧在间盘内呈裂隙状、髓核腔内积聚状、弥散分布状。臭氧注射后神经根轮廓全部显露、"淹没征"消失者占29%;神经根大部分显露、"淹没征"部分消失者占50%;神经根显露不明显者占21%。治疗后3个月随访显效、有效和无效分别占82%、13%和5%。结论 CT导向下臭氧消融术穿刺准确,可监测臭氧分布及注射后改变,疗效满意。
英文摘要:
      Objective To explore the value of CT guided O3 injection in the treatment of lumbar disc herniation. Methods All 150 patients with herniation of lumbar disc were treated with O3 injection under the guidance of CT. The puncture rout for midline or para-midline herniated nucleus pulposus (HNP) passed between the nerve root and dural sac to disk, and that for posterolateral HNP between the nerve root and the inner margin of articular facet to disk. A total of 5-15 ml of ozone with concentration 60 μg/ml were injected both to disk and the center of HNP. Results After injection of ozone, the ozone were distributed as localized shape, cranny shape and dispersion shape. After the treatment, 29% HNP the obliteration of nerve root vanished, 50% partially and 21% nerve root remained obliterating. The excellent, good and poor clinical efficacy was 82%, 13% and 5%, respectively 3 months after treatment. Conclusion CT guided O3 injection is an accurate, safe, and effective method in the treatment of lumbar disc herniation.
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