中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
5期
657-659
,共3页
苏启超%王建光%耿海涛%李海芳%朱春阳%贾艳玲
囌啟超%王建光%耿海濤%李海芳%硃春暘%賈豔玲
소계초%왕건광%경해도%리해방%주춘양%가염령
椎间盘减压器%椎间盘减压术%腰椎间盘突出症%臭氧%腰椎牵引
椎間盤減壓器%椎間盤減壓術%腰椎間盤突齣癥%臭氧%腰椎牽引
추간반감압기%추간반감압술%요추간반돌출증%취양%요추견인
Disc decompressior%Disc decompression%Iumbar disc herniation syndrome%Ozone%Lumbar traction
目的 观察经皮穿刺髓核旋切减压与腰椎间盘臭氧注射联合术后牵引的综合治疗方案用于中央型腰椎间盘突出症的疗效.方法 110例腰椎间盘突出症患者随机分为两组,A组55例Decompressor髓核旋切器,采用经典的后外侧穿刺入路,行经皮髓核旋切腰椎间盘减压术,然后向腰椎间盘内、外注射臭氧;B组55例,在A组的治疗方案基础上,手术后当天开始行连续7d腰椎牵引.予以治疗前和治疗后VAS评分、评价两组疗效并随访观察.结果 两组治疗后1d、3d、7 d VAS评分与治疗前差异有统计学意义(t=2.159、2.163、2.169、2.167、2.173、2.192,均P<0.05),术后6个月、12个月随访,B组优良率均优于A组(x2=74.23、75.11,均P<0.05).结论 经皮Decompressor髓核旋切减压和臭氧注射联合术后牵引的综合治疗方案用于中央型腰椎间盘突出症疗效确切.
目的 觀察經皮穿刺髓覈鏇切減壓與腰椎間盤臭氧註射聯閤術後牽引的綜閤治療方案用于中央型腰椎間盤突齣癥的療效.方法 110例腰椎間盤突齣癥患者隨機分為兩組,A組55例Decompressor髓覈鏇切器,採用經典的後外側穿刺入路,行經皮髓覈鏇切腰椎間盤減壓術,然後嚮腰椎間盤內、外註射臭氧;B組55例,在A組的治療方案基礎上,手術後噹天開始行連續7d腰椎牽引.予以治療前和治療後VAS評分、評價兩組療效併隨訪觀察.結果 兩組治療後1d、3d、7 d VAS評分與治療前差異有統計學意義(t=2.159、2.163、2.169、2.167、2.173、2.192,均P<0.05),術後6箇月、12箇月隨訪,B組優良率均優于A組(x2=74.23、75.11,均P<0.05).結論 經皮Decompressor髓覈鏇切減壓和臭氧註射聯閤術後牽引的綜閤治療方案用于中央型腰椎間盤突齣癥療效確切.
목적 관찰경피천자수핵선절감압여요추간반취양주사연합술후견인적종합치료방안용우중앙형요추간반돌출증적료효.방법 110례요추간반돌출증환자수궤분위량조,A조55례Decompressor수핵선절기,채용경전적후외측천자입로,행경피수핵선절요추간반감압술,연후향요추간반내、외주사취양;B조55례,재A조적치료방안기출상,수술후당천개시행련속7d요추견인.여이치료전화치료후VAS평분、평개량조료효병수방관찰.결과 량조치료후1d、3d、7 d VAS평분여치료전차이유통계학의의(t=2.159、2.163、2.169、2.167、2.173、2.192,균P<0.05),술후6개월、12개월수방,B조우량솔균우우A조(x2=74.23、75.11,균P<0.05).결론 경피Decompressor수핵선절감압화취양주사연합술후견인적종합치료방안용우중앙형요추간반돌출증료효학절.
Objective To investigate the clinic technique and effect of treating lumbar disc herniation (LDH) with decompressor and ozone injection combined lumbar traction after surgery.Methods 110 contained LDH patients were randomly divided into two group:decompressor and ozone group,decompressor and ozone combined lumbar traction after surgery group.Under the guidance of CT,fifty-five patients in group A were treated by disc decompression with Decompressor through poster olateral approach,then ozone was injected into the lumbar disc or out side the lumbar disc,and the other fifty-five patients in group B were treated by lumbar traction after surgery that disc decompression and ozone injection same as the group A in once a day and one week of treatment.The theraputic effect was evaluated by comparing VAS,effective rate of therapy before and after treatment.Results The VAS score of two groups at 1,3,7 days between pre-and post-treatment had singificantly different(t =2.159,2.163,2.169,2.167,2.173,2.192,all P <0.05).110 case were followed up after 6 and 12 months,The good-excellent rate of therapy in B group 12 months were better than those of A group (x2 =74.23,75.11,all P < 0.05).Conclusion Decompressor combined ozone injection and lumbar traction after surgery is an effective menthod for treatment of the central type mbar disc herniation.