CAJ | 학술논문

目的观察臭氧治疗腰椎间盘突出症疗效.方法 104例患者经CT或MRI检查证实为腰椎间盘突出症.临床主要表现为腰背部及下肢疼痛或麻木,全部病例共144个病变椎间盘.透视下采用21G穿刺针穿刺病变椎间盘,盘内及椎旁间隙注射50μg/ml浓度的臭氧气体4～10 ml,注射泼尼松龙40 mg.结果 2009年3月进行末次随访,随访率100%,随访时间为3～84个月,中位随访时间为38个月.总有效率77.1%,无任何严重并发症发生.结论经皮椎间盘及椎旁间隙臭氧注射术疗效可靠,安全.
목적 관찰취양치료요추간반돌출증료효.방법 104례환자경CT혹MRI검사증실위요추간반돌출증.림상주요표현위요배부급하지동통혹마목,전부병례공144개병변추간반.투시하채용21G천자침천자병변추간반,반내급추방간극주사50μg/ml농도적취양기체4～10 ml,주사발니송룡40 mg.결과 2009년3월진행말차수방,수방솔100%,수방시간위3～84개월,중위수방시간위38개월.총유효솔77.1%,무임하엄중병발증발생.결론 경피추간반급추방간극취양주사술료효가고,안전.
Objective To observe the therapeutic efficacy of ozone injection in treating lumbar disc herniation. Methods One hundred and four patients with CT or MRI proved lumbar disc herniation, including 144 diseased lumbar discs, were enrolled in this study. The main complains were severe pain or numbness in the low back and lower limbs. Under the X-ray guidance, a 21 G needle was punctured into the disc, followed by an injection of 4-40 ml ozone (50 ug/ml) and 40 mg prednisolone acetate into intradiscal and paravertebral space. Results All patients were followed up for 3 to 84 months with an average time of 38 months. The last follow-up check was carried out in March of 2009. The total effective rate was 77.1%, with no occurrence of any serious complications. Conclusion The percutaneous injection of medical ozone into disc and paravertebral space is an effective and safe method for the treatment of lumbar disc herniation.