CAJ | 학술논문

目的探讨射频靶点热凝消融术联合臭氧在治疗腰椎间盘突出症中的临床效果.方法患者入院后,在大型C臂X线机透视下,采用经侧后方穿刺路径法行臭氧治疗,嘱患者卧硬板床休息3 d后,经上述路径再次行射频热凝消融术,二者联合治疗腰椎间盘突出症患者16例,随访1周~6个月,观察其临床疗效及并发症.结果15例腰椎间盘突出症患者中包括L4~L5椎间盘突出者8例,L5~S1椎间盘突出者6例,L4~L5、L5~S1椎间盘同时突出者1例.本组病例共16个椎间盘行射频靶点热凝消融术联合臭氧治疗,技术成功率100%,其中10例患者术后疼痛完全缓解(CR),3例术后部分缓解(PR),1例术后轻微缓解,1例无改善.总有效率86.7%.全部病例均未出现椎间盘感染等严重并发症.结论射频靶点热凝消融术联合臭氧在治疗腰椎间盘突出症中安全有效,能明显地缓解疼痛和提高患者生活质量,是一种值得临床推广应用的治疗.
목적탐토사빈파점열응소융술연합취양재치료요추간반돌출증중적림상효과.방법환자입원후,재대형C비X선궤투시하,채용경측후방천자로경법행취양치료,촉환자와경판상휴식3 d후,경상술로경재차행사빈열응소융술,이자연합치료요추간반돌출증환자16례,수방1주~6개월,관찰기림상료효급병발증.결과15례요추간반돌출증환자중포괄L4~L5추간반돌출자8례,L5~S1추간반돌출자6례,L4~L5、L5~S1추간반동시돌출자1례.본조병례공16개추간반행사빈파점열응소융술연합취양치료,기술성공솔100%,기중10례환자술후동통완전완해(CR),3례술후부분완해(PR),1례술후경미완해,1례무개선.총유효솔86.7%.전부병례균미출현추간반감염등엄중병발증.결론사빈파점열응소융술연합취양재치료요추간반돌출증중안전유효,능명현지완해동통화제고환자생활질량,시일충치득림상추엄응용적치료.
Objective To study the clinical effect with radio frequency target thermosetting ablation combined ozone in the treatment of prolapse of lumbar intervertebral disc. Methods After admission patients, in large C arm X-ray machine perspective, using the monitors the puncture path method line ozone treatment, instructing patients lie hard card after three days of rest, after the above path agailine using radio frequency ablation thermosetting, both combination therapy in patients with prolapse of lumbar intervertebral disc in 16 cases, follow-up of 1 weeks to 6 months, and observe its clinical curative effect and complications. Results 15 cases of patients with lumbar intervertebral disc protrusion including 8 cases of L4~L5, 6 cases of L5~S1 and 1 case both include of L4~L5 and L5~S1. All the cases were 16 intervertebral disc using radio frequency target thermosetting ablation combined ozone treatment, technical success rate 100%, among which 10 patients postoperative pain complete remission (CR), 3 cases of postoperative partial relief (PR), 1 cases of postoperative slight relief, 1 cases of no improvement. The total effective rate is 86.7%. All patients not appeared intervertebral disc infection serious complications. Conclusion Radio frequency target thermosetting ablation combined ozone in treatment of prolapse of lumbar intervertebral disc is safe and effective, can obviously relieve pain and improve the patient quality of life, it is a worthy of popularization and application of the clinical treatment.