小关节内侧缘阻滞联合臭氧注射治疗腰椎间盘突出症的疗效观察.pdfVIP

痛杂志2015年第 36卷第 1期TheJoumalofCervicodvniaandLumbodvnia2015，Vo1．36No．1 · 65 · ● 临床研 究 ● 小关节内侧缘阻滞联合臭氧注射治疗腰椎问盘突 出症的疗效观察 郭强，罗健康，吕建平，高晓猛 (西安市中心医院疼痛科，西安 710003) 摘要：目的 探讨小关节内侧缘阻滞联合臭氧注射与单纯小关节内侧缘阻滞治疗腰椎间盘突出症 的治疗效果。方法 临床CT(或MRI)检查证实为后外侧型和椎间孔型腰椎间盘突出症 123例，随机 分为小关节内侧缘阻滞联合臭氧注射治疗组(A组)61例和单纯小关节内侧缘阻滞治疗组(B组)62 例；所有患者分别随访 1、3、6个月。结果 术后 1个月，A组有效率90．2％；B组有效率 70．9％；两组 比较差异有统计学意义(P0．05)；术后3个月和6个月，A组和B组疗效比较差异有统计学意义(P 0．05)。结论 小关节内侧缘阻滞联合臭氧注射治疗腰椎间盘突出症是一种安全、有效的治疗方法 ， 与单纯小关节内侧缘阻滞术相比疗效更好。 关键词：腰椎椎间盘突出症 ；小关节内侧缘阻滞；臭氧注射； 中图分类号：R681．53 文献标识码：B 文章编号：1005—7234(2015)01—0065一o3 DOI：10．3969~．issn．1005-7234．2015．01．003 ComparativeevaluationofthecombineduseofhtefactjointsmedialispedisblockwitI10xy— gen-ozoneinjectionandhtefactjointsmedialispedisblockaloneforhtetreatmentoflum- bar discherniation． GUOQiang，LUOJian—Kang，LVJian-Ping，eta1． (DepartmentofPain，Xiancentralhospital，Xian710003) Abstract：Objective Tocomparetheefficacyofthecombineduseofhtefactjointsmedialis pedisblockwith oxygen—ozoneinjectionandhtefactjointsmedialispedisblock aloneforhte treatmentoflumbardischemiation．Methods 123adultpatientswithClinicalexamination(CtorM— RI)confirmedlumbardischerniationwiht Posterolateral typeAndforamentypewererandomlyas— signedintotwogroups．thefactjointsmedialispedisblockwithoxygen-ozoneinjectiongroup(A group)received Combination hterapy；the factjointsmedialispedisblock group receivedSingle treatment．Outcomemeasuresincluded improved MacNab scaleofrpain．Clinical assessmentofthese outcomemeasureswasperfomr ed at1month，3 months，6 ment}ls．Results postoperativefollow-up 1 month，The totaleffective rate OfA group is 90．2％ ；Th e total effective rate OfB group is 70． 9％；thereweresignificantdifference in effectiveratebetweenthetwogroupsaftersurgery (P0． 05)；postoperativefollow—up 3monthsand6 months，，IIletotaleffectiverateweresignificantdif- ferencebetween twogroups(P0．05