CAJ | 학술논문

目的探讨CT引导下射频热凝联合臭氧消融术治疗腰椎间盘突出症的临床应用价值.方法 36例经临床和影像检查确诊的腰椎间盘突出症患者在CT定位下行经皮穿刺靶点射频热凝后,同时行椎间盘内、盘外臭氧注射.结果 36例患者治疗后随访3～6个月,按改良Macnab疗效评定标准分级,优18例、良13例、可3例、差2例,总有效率94.4%,优良率为86.1%,均未见并发症.结论 CT引导提高了穿刺的准确性,在严格掌握适应证的情况下,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.
목적 탐토CT인도하사빈열응연합취양소융술치료요추간반돌출증적림상응용개치.방법 36례경림상화영상검사학진적요추간반돌출증환자재CT정위하행경피천자파점사빈열응후,동시행추간반내、반외취양주사.결과 36례환자치료후수방3～6개월,안개량Macnab료효평정표준분급,우18례、량13례、가3례、차2례,총유효솔94.4%,우량솔위86.1%,균미견병발증.결론 CT인도제고료천자적준학성,재엄격장악괄응증적정황하,사빈열응연합취양소융술시치료요추간반돌출증적일충안전、유효적방법.
Objective To explore the clinical effect of lubar intervertebral disc protrusion treatment with ozone injection combined radiofrequency thermocoagulation. Methods 36 patients with lubar intervertebral disc protrusion confirmed by clinical and imaging examination were underwent radiofrequency thermocoagulation followed ozone injection guided with CT. Results All the patients were followed up for 3 ～6 months,and statistic the improvement rate was evaluated according to Macnab standard. The total effective rate was 94.4%, and the improvement rate was 86.1%. Conclusion CT guided treatment could greatly elevate the accuracy of puncture. Radiofrequency target point thermocoagulation combined with ozone injection was a minimally invasive、safet and markedly effective method for lubar intervertebral disc protrusion treatment.