射频+臭氧+针刀联合治疗腰椎间盘突出症临床探究.docVIP

射频+臭氧+针刀联合治疗腰椎间盘突出症临床探究【摘要】 目的:探讨射频+臭氧+针刀联合介入治疗腰椎间盘突出症的优缺点。方法 对我院近1年内收治的96例腰椎间盘突出症患者均采用CT引导下联合微创介入手术治疗,采用回顾性分析的方法结合临床诊断及术后随访分析研究。结果 96例患者均对治疗效果满意,其中78例两周内原有症状完全消失,15例在八周内症状消失,1例二十周内症状消失,2例患者接受二次联合介入治疗均在四周内症状消失。结论 CT引导下联合微创介入治疗腰椎间盘突出症患者快速安全有效。 【关键词】微创;腰椎间盘突出症;介入治疗 Clinical study of RF + Ozone + Acupotomology treatment of lumbar disc herniation Yu Yongqin Li ZhaoChen Yufen, et al 【Abstract】 Objective To discussion RF + Ozone + Acupotomology interventional therapy combined of the advantages and disadvantages of lumbar disc herniation.Methods Nearly one year of college of 96 prolapses of lumbar intervertebral disc is guided by computed tomography (CT) with joint minimally invasive surgical treatment were adopted in the analysis method combined with clinical diagnosis and follow-up study. Results 96 patients were treated with satisfactory effect for, 78 cases within two weeks of the original symptoms disappeared completely, 15 cases in eight weeks, 1 case symptoms disappeared within 20 weeks symptoms disappeared, 2 patients in the interention second joint symptoms disappeared around inside. Conclusion CT guided joint minimally invasive interventional treatment for patients with prolapse of lumbar intervertebral disc fast is safe and effective. 【Key Words】Minimally invasive; lumbar disc herniation; Interventional therapy 【中图分类号】R435【文献标识码】A【文章编号】1005-0515(2010)011-0144-01 腰椎间盘突出症指外伤或退变导致椎间盘纤维环撕裂而出现的髓核膨出、突出或脱出,是引起腰腿痛最常见的原因[ 1]。好发于青壮年,病程长、复发率高,严重影响患者生活工作质量。近年相关的治疗探讨报道很多,我科根据相关技术、设备和临床经验设计了CT引导下射频+臭氧+针刀联合微创介入治疗的方法应用于临床,以其创伤小、治疗时间短、安全性高、恢复快等优点,越来越受到广大患者欢迎。回顾我科自2008年5月至2009年4月的96例患者,均采用微创联合介入手术治疗,结合临床资料分析研究探讨该手术的优缺点。? 1 资料和方法 1.1 一般资料:本组96例,男64例,女32例;年龄19~86岁,平均53岁;病程1个月至40余年;其中11例为单节段突出,71例为双节段突出,14例为三节段突出。术前、术后均行腰椎间盘CT扫描,了解椎间盘突出程度,同时进行VAS评分和改良的Macnab疗效评定标准,并将数据对比进行统计学分析。 1.2 治疗设备:PHILIPS双排螺旋CT,北京北琪R-2000B型射频温控热凝治疗仪,山东淄博悦华CHY-11-B型医用臭氧发生器,汉章针刀。 1.3 治疗方法:患者采取俯卧位,腹下垫枕,消除腰椎生理前曲。在CT引导下,通过计算软件精确定位介入穿刺点以及穿刺深度,同时结合术前查体定位针刀治疗点。穿刺途径采取双侧或单侧安全三角区入路、小关节内侧