CAJ | 학술논문

目的探讨经皮激光椎间盘减压术联合穿通式注射臭氧治疗腰椎间盘突出症的疗效.方法在CT引导下,选择L_3～S_1间隙,将穿刺针从双侧插入椎间隙近中心处,然后插入600nm光导纤维,以自动脉冲式半导体激光烧灼髓核,每个间隙发射波长810 nm,输出功率15 W,能量1 600～2 400 J,使椎间隙形成部分空腔,从双侧穿通式注射臭氧(即一侧推注臭氧时、对侧同时抽吸,交替进行),每个间隙注入浓度为50～60μg/ml臭氧50～60 ml.共治疗51例61个间盘,形成穿通式共53个间盘.结果随访6个月,总有效率98.0%,无一例感染或发生其他严重并发症.结论经皮激光椎间盘减压术联合穿通式注射臭氧治疗腰椎间盘突出症具有创伤小、痛苦少、安全性高、疗效较佳等特点,是微创治疗腰椎间盘突出症的有效方法之一.
목적 탐토경피격광추간반감압술연합천통식주사취양치료요추간반돌출증적료효.방법 재CT인도하,선택L_3～S_1간극,장천자침종쌍측삽입추간극근중심처,연후삽입600nm광도섬유,이자동맥충식반도체격광소작수핵,매개간극발사파장810 nm,수출공솔15 W,능량1 600～2 400 J,사추간극형성부분공강,종쌍측천통식주사취양(즉일측추주취양시、대측동시추흡,교체진행),매개간극주입농도위50～60μg/ml취양50～60 ml.공치료51례61개간반,형성천통식공53개간반.결과 수방6개월,총유효솔98.0%,무일례감염혹발생기타엄중병발증.결론 경피격광추간반감압술연합천통식주사취양치료요추간반돌출증구유창상소、통고소、안전성고、료효교가등특점,시미창치료요추간반돌출증적유효방법지일.
Objective To discuss the effect of percutaneous laser disc decompression (PLDD) combined with ozone injection by bilateral operative approach on lumbar disc herniation(LDH). The new approach is to cross the disc, inject ozone to one side and aspirate the opposite side alternately. Methods Under CT scanning, locating the lumbar intervertebral discs (L_3-S_1), puncturing into the center of intervertebral disc bilat-erally, inserting the light-conducting fiber(600 nm), cauterizing the nucleus pulposus with auto-impulse semiconductor laser(power 0.5-30 W, wavelength 810 nm), emitting 1 600-2400 J of laser each disc, and making the part of the disc empty, then 50-60 ml of ozone were injected into each disc by the bilateral operative approach, and with the concentration of 50-60 μg/ml. Fifty-one cases with 61 discs were treated.Results Following up 6 months, the effective rate was 98.0%. No one got infection or other serious complications. Conclusions PLDD combined with ozone injection by bilateral operative approach is one of the effective way to treat LDH with less trauma, less pain, higher safety and better effect.