CAJ | 학술논문

目的：观察并探讨臭氧联合射频消融(RFA)治疗极外侧型腰椎间盘突出症(FLLDH)的临床疗效。方法对2013年3月—2014年3月收治的60例FLLDH患者按随机化原则分为对照组和研究组,对照组30例患者单行注射臭氧治疗,研究组30例患者行臭氧联合RFA,两组患者其他辅助无差别,每组患者治疗后随访1周和1、3、6个月,观察两组患者的临床疗效及有无并发症。结果60例患者手术均获得成功,围手术期无并发症发生,技术成功率100％,对照组30例患者治疗后1周,1、3和6个月优良率分别为73.3％、76.7％、70.0％、60.0％,研究组分别为70.0％、76.7％、83.3％、90.0％。3、6个月时疗效显著优于对照组。结论臭氧联合RFA治疗极外侧型腰椎间盘突出是一种安全、有效的方法,值得临床推广应用。
목적：관찰병탐토취양연합사빈소융(RFA)치료겁외측형요추간반돌출증(FLLDH)적림상료효。방법대2013년3월—2014년3월수치적60례FLLDH환자안수궤화원칙분위대조조화연구조,대조조30례환자단행주사취양치료,연구조30례환자행취양연합RFA,량조환자기타보조무차별,매조환자치료후수방1주화1、3、6개월,관찰량조환자적림상료효급유무병발증。결과60례환자수술균획득성공,위수술기무병발증발생,기술성공솔100％,대조조30례환자치료후1주,1、3화6개월우량솔분별위73.3％、76.7％、70.0％、60.0％,연구조분별위70.0％、76.7％、83.3％、90.0％。3、6개월시료효현저우우대조조。결론취양연합RFA치료겁외측형요추간반돌출시일충안전、유효적방법,치득림상추엄응용。
Objective To investigate the clinical efficacy of ozone injection combined with radiofrequency ablation (RFA) for the treatment of far lateral lumbar disc herniation (FLLDH). Methods A total of 60 patients with FLLDH, who were admitted to authors’ hospital during the period from March 2013 to March 2014, were randomly and equally divided into the study group (n=30) and the control group (n=30). Simple ozone injection treatment was employed for the patients of the control group, while ozone injection combined with radiofrequency ablation was adopted for the patients of the study group. The same other adjunctive medication was used in both groups. All the patients were followed up at one week as well as at one, 3 and 6 months after the treatment. The clinical effect and the complications of both g roups were recorded. Results Successful operation was obtained in all 60 patients, no perioperative complications occurred, and the technical success rate was 100%. The excellent clinical results evaluated at one week, and one, 3 and 6 months after the treatment in the control group and in the study group were 73.3%, 76.7%, 70%, 60% and 70%, 76.7%, 83.3%, 90% respectively. The 3-month and 6-month clinical results of the study group were significantly better than those of the control group. Conclusion For the treatment of FLLDH, ozone injection combined with radiofrequency ablation is safe and effective. This technique should be recommended in clinical practice.