中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
15期
87-89
,共3页
臭氧%经皮%小针刀%联合治疗%腰椎间盘突出症
臭氧%經皮%小針刀%聯閤治療%腰椎間盤突齣癥
취양%경피%소침도%연합치료%요추간반돌출증
Ozone%Percutaneous%Small knife%Combination therapy%Lumbar disc herniation
目的：探讨应用经皮椎间盘臭氧注射术与小针刀联合治疗腰椎间盘突出症的临床疗效，并探讨不同年龄段及发病时间对疗效的影响。方法：应用医用臭氧发生器，在C臂X光机引导下行脊柱后外侧经皮穿刺，到达病变腰椎间盘髓核后，注入60μg/ml的O310～20 ml，退针至相应椎间孔的后缘注入40μg/ml的O310 ml，卧硬板床休息1 d后行腰部及患侧腿部的小针刀松解治疗，小针刀松解治疗后卧硬板床休息1周。本组病例158例，共226个椎间盘，按中华骨科学会脊柱学组腰背痛手术评分标准评定疗效。结果：术后158例均得到了随访。术后1周：优149例，占94.3%，良8例，占5.1%，差1例，占0.6%；术后3月：优145例，占91.8%，良10例，占6.3%，差3例，占1.9%；术后6月：优142例，占89.9%，良14例，占8.9%，差2例，占1.3%；术后12个月：优139例，占88.0%，良16例，占10.1%，差3例，占1.9%。结论：该技术操作简单，创伤小，疗效好，疗程短，安全系数高，复发率小，值得推广。
目的：探討應用經皮椎間盤臭氧註射術與小針刀聯閤治療腰椎間盤突齣癥的臨床療效，併探討不同年齡段及髮病時間對療效的影響。方法：應用醫用臭氧髮生器，在C臂X光機引導下行脊柱後外側經皮穿刺，到達病變腰椎間盤髓覈後，註入60μg/ml的O310～20 ml，退針至相應椎間孔的後緣註入40μg/ml的O310 ml，臥硬闆床休息1 d後行腰部及患側腿部的小針刀鬆解治療，小針刀鬆解治療後臥硬闆床休息1週。本組病例158例，共226箇椎間盤，按中華骨科學會脊柱學組腰揹痛手術評分標準評定療效。結果：術後158例均得到瞭隨訪。術後1週：優149例，佔94.3%，良8例，佔5.1%，差1例，佔0.6%；術後3月：優145例，佔91.8%，良10例，佔6.3%，差3例，佔1.9%；術後6月：優142例，佔89.9%，良14例，佔8.9%，差2例，佔1.3%；術後12箇月：優139例，佔88.0%，良16例，佔10.1%，差3例，佔1.9%。結論：該技術操作簡單，創傷小，療效好，療程短，安全繫數高，複髮率小，值得推廣。
목적：탐토응용경피추간반취양주사술여소침도연합치료요추간반돌출증적림상료효，병탐토불동년령단급발병시간대료효적영향。방법：응용의용취양발생기，재C비X광궤인도하행척주후외측경피천자，도체병변요추간반수핵후，주입60μg/ml적O310～20 ml，퇴침지상응추간공적후연주입40μg/ml적O310 ml，와경판상휴식1 d후행요부급환측퇴부적소침도송해치료，소침도송해치료후와경판상휴식1주。본조병례158례，공226개추간반，안중화골과학회척주학조요배통수술평분표준평정료효。결과：술후158례균득도료수방。술후1주：우149례，점94.3%，량8례，점5.1%，차1례，점0.6%；술후3월：우145례，점91.8%，량10례，점6.3%，차3례，점1.9%；술후6월：우142례，점89.9%，량14례，점8.9%，차2례，점1.3%；술후12개월：우139례，점88.0%，량16례，점10.1%，차3례，점1.9%。결론：해기술조작간단，창상소，료효호，료정단，안전계수고，복발솔소，치득추엄。
Objective: To evaluate the clinical efficacy of percutaneous disc ozone injection technique combined with a small knife in the treatment of lumbar disc herniation and explore the effects of different ages and time of onset of efficacy.Methods: The medical ozone generator in the "C" arm X-ray machine after the guided percutaneous spine outer reaches lumbar disc disease, inject 60 ug / ml of O310 ~ 20 ml,needle back to the respective intervertebral the trailing edge of the hole injecting 40 ug / ml of O310 ml,lying rigid bed rest 1 d underwent ipsilateral waist and legs with small knife treatment,after treatment with small knife lying rigid bed rest for 1 week. There were 158 cases, a total of 226 disc.According to the Chinese Orthopaedic Association study group back pain spine surgery score evaluated. Results: 158 cases were obtained after a follow-up. After one week: 149 cases were excellent, accounting for 94.30%, 8 cases good , accounting for 5.06% and 1 cases poor, accounting for 0.63%;after 3 months:145 cases were excellent, accounting for 91.77%, 10 cases good , accounting for 6.33 percent, 3 cases poor , accounting for 1.90%; after 6 months: 142 cases were excellent , accounting for 89.87%, 14 cases good,accounting for 8.86%, and 2 cases poor , accounting for 1.27%; after 12 months: 139 cases were excellent,accounting for 87.97 percent,16 cases good, accounting for 10.13%, and 3 cases poor,accounting for 1.90%.Conclusion:This technique is simple,less invasive, effective with short course, high safety factor and low recurrence rate, which is worthy of promotion.
