CAJ | 학술논문

目的:探讨腰椎间盘突出症经皮穿刺椎间盘联合骶管穿刺臭氧注射治疗的临床治疗效果以及安全性.方法:67例经CT和/或MRI证实的腰椎间盘突出症患者,在螺旋CT或数字胃肠引导下,用21G多侧孔穿刺针穿刺病变椎间盘内及椎间孔周围,椎间盘内注射浓度为50μg/ml的臭氧气体5~10ml,后向椎间孔周围椎旁组织注入浓度为30μg/ml的臭氧20ml,并于术后3天、10天经骶管注入30μg/ml臭氧30ml.结果:67例患者随访1~9个月,显效47例,有效15例,差5例,总有效率92.54%.大多数患者在术后0.5~1个月症状基本消失,且所有患者在治疗过程中均未有严重并发症发生.结论:腰椎间盘突出症经皮穿刺椎间盘联合骶管注射医用臭氧治疗是一种安全有效且对患者而言较为经济的微创疗法,能够达到满意的治疗效果.
목적:탐토요추간반돌출증경피천자추간반연합저관천자취양주사치료적림상치료효과이급안전성.방법:67례경CT화/혹MRI증실적요추간반돌출증환자,재라선CT혹수자위장인도하,용21G다측공천자침천자병변추간반내급추간공주위,추간반내주사농도위50μg/ml적취양기체5~10ml,후향추간공주위추방조직주입농도위30μg/ml적취양20ml,병우술후3천、10천경저관주입30μg/ml취양30ml.결과:67례환자수방1~9개월,현효47례,유효15례,차5례,총유효솔92.54%.대다수환자재술후0.5~1개월증상기본소실,차소유환자재치료과정중균미유엄중병발증발생.결론:요추간반돌출증경피천자추간반연합저관주사의용취양치료시일충안전유효차대환자이언교위경제적미창요법,능구체도만의적치료효과.
Objective:To investigate the clinical therapeutic effect and safety of the treatment that percutaneous intervertebral disc combined with sacral canal puncture ozone injection to cure lumbar disc herniation .Methods:67 patients confirmed by CT and/or MRI with lumbar disc herniation,in spiral CT or digital gastrointestinal guided,by 21G multiple side hole puncture needle aspiration lesions of intervertebral disc and intervertebral foramen,intradiscal injection of the concentration of ozone gas 5~10ml 50 μ g/ml,posterior to the intervertebral foramen tissues injected 30μg/ml ozone 20ml, and Through sacral canal injection of 30 μ g/ml ozone 30ml after 3 days,10days.Results:Of the 67 patients were followed up for 1~9months,47 cases were markedly effective,effective in 15 cases,and poor in 5 cases,the total efficiency is 92.54%.The majority of patients after 0.5 to 1 months of symptoms disappeared,and all patients had no serious complications during treatment. Conclusion:Lumbar disc herniation percutaneous intervertebral disc combined with sacral canal injection of medical ozone therapy is a safe and effective and more economic minimally invasive therapy for patients,can achieve satisfactory therapeutic effect.