CT引导下靶点射频热凝联合臭氧消融术治疗腰椎间盘突出症临床研究.doc

CT引导下靶点射频热凝联合臭氧消融术治疗腰椎间盘突出症临床研究 　　[摘要] 目的 观察CT引导下靶点射频热凝联合臭氧消融术治疗腰椎间盘突出症的疗效。方法 将120例腰椎间盘突出症患者随机分为3组,靶点射频热凝消融组(A组,n=40)、臭氧消融组(B组,n=40)、两者联合消融组(C组,n=40)。分别于术后1周、3个月和6个月进行疗效评价。结果 与术后1周相比,C组术后6个月的优良率显著提高(P＜0.05);C组术后3个月及术后6个月的有效率及优良率均高于B组(P＜0.05),C组术后6个月的优良率较A组高(P＜0.05)。各组无明显术后并发症发生。结论 CT引导提高了穿刺的准确性,严格掌握适应证的情况下,靶点射频热凝联合臭氧消融术是治疗腰椎间盘突出症的一种安全、有效的方法。 　　[关键词] 靶点射频热凝； 臭氧； 椎间盘突出； 微创 　　[中图分类号] R323.3+3 [文献标识码] C [文章编号] 1005-0515（2012）-01-002-02 　　 　　Treatment of Lumbar Disc Herniation with CT Guided Ozone Injection and Target Ablation 　　with Radiofrequency Thermocoagulation 　　Tang Jiefu Wu Shixing Shu Wenfeng etal. 　　(The Department of Orthopaedics the Second Hospital of Huaihua,Huaihua,418000,china) 　　[Abstract] Objective To investigate the effects of target ablation with radiofrequency thermocoagulation and ozone injection in the treatment of lumbar disc herniation. Methods 120 cases of lumbar disc herniation patients were randomly divided into three groups (n=40): target ablation with radiofrequency thermocoagulation group (group A); ozone injection group (group B); target ablation with radiofrequency thermocoagulation and ozone injection group (group C). The rapeutic effects were evaluated on 1 week, 3 months and 6 months post-operation. Results Compared with the value on 1 week post-operation, the significant effective rate on 6 months post-operation in group C rost significantly (P＜0.05); the effective rate and the evident effective rate on 3 months post-operation and on 6 months post-operation in group C were higher than that in group B(P＜0.05), and the evident effective rate on 6 months post-operation in group C were higher than that in group A(P＜0.05). No serious postoperative complications were observed. Conclusion CT guided treatment can greatly elevate the accuracy of puncture. If only the indications are carefully controlled, target ablation with radiofrequency thermocoagulation and ozone injection is a minimally invasive and markedly effective method for