CAJ | 학술논문

目的探讨CT引导下臭氧治疗椎间盘源性腰痛的疗效.方法选取符合椎间盘源性腰痛标准50例患者,在CT引导下对58个椎间盘进行穿刺,在盘内及椎间孔区分别注射浓度为50μg/mL及35μg/mL的臭氧,根据视觉模拟评分及改良的Macnab疗效评定标准进行评定,观察疗效.结果 CT引导下均一次穿刺成功,58个间盘注射臭氧后均诱发或复制出下腰部疼痛,CT表现为纤维环部分撕裂18例,完全撕裂40例,术前及术后3 d、3个月、6个月的视觉模拟评分分别为7.53±1.51、4.10±0.43、1.96±0.43、1.71±0.53,术前与术后各个时间段对比,差异具有统计学意义(P<0.05);术后3 d、3个月、6个月的优良率分别为79.8%、89.7%、91.2%.结论 CT引导下盘内外注射臭氧治疗椎间盘源性腰痛操作简单,安全准确,不仅具有影像学诊断价值,而且疗效良好.
목적탐토CT인도하취양치료추간반원성요통적료효.방법선취부합추간반원성요통표준50례환자,재CT인도하대58개추간반진행천자,재반내급추간공구분별주사농도위50μg/mL급35μg/mL적취양,근거시각모의평분급개량적Macnab료효평정표준진행평정,관찰료효.결과 CT인도하균일차천자성공,58개간반주사취양후균유발혹복제출하요부동통,CT표현위섬유배부분시렬18례,완전시렬40례,술전급술후3 d、3개월、6개월적시각모의평분분별위7.53±1.51、4.10±0.43、1.96±0.43、1.71±0.53,술전여술후각개시간단대비,차이구유통계학의의(P<0.05);술후3 d、3개월、6개월적우량솔분별위79.8%、89.7%、91.2%.결론 CT인도하반내외주사취양치료추간반원성요통조작간단,안전준학,불부구유영상학진단개치,이차료효량호.
Objective To probe into the curative effect of CT-guided ozone treatm ent on discogenic low back pain.Methods 50 sufferers with discogenic low back pain were selected and CT-guided punctured at 58 intervertebral discs.O zone with concentration of 50 μg/m L and 35 μg/m L was respectively injected into the disc and the intervertebral foram en.V isual analogue scale and m odified M acnab wereadopted to evaluate the curative effect.Results CT-guided puncture success was achieved at one tim e,58 intervertebral discs wereall induced and copied low back pain after ozone injection.CT showed 18 cases had fibrous ring partial tear,40 had com-plete tear.V isual analogue scales before operation and 3 days,3 months and 6 months after operation wererespectively 7.53 ±1.51, 4.10 ±0.43,1.96 ±0.43,1.71 ±0.53.The differences of different stages before and after the operation wereof statistical significance (P<0.05).The excellent rates of 3 days,3 months and 6 months after operation wererespectively 79.8% ,89.7% ,and 91.2% .Conclu-sion CT-guided disc ozone injection treatm ent on discogenic low back pain is easy to operate,safe and accurate,which has not only im aging diagnosis value but also good curative effect.