中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
34期
58-59
,共2页
C臂引导%射频热凝术%臭氧%颈椎间盘突出症
C臂引導%射頻熱凝術%臭氧%頸椎間盤突齣癥
C비인도%사빈열응술%취양%경추간반돌출증
C arm guidance%Radiofrequency thermocoagulation%Ozone%Cervical disc herniation
目的：探讨颈椎间盘突出症采取射频热凝靶点消融术联合臭氧进行治疗的细节及临床疗效。方法：2007年5月-2013年5月收治颈椎间盘突出症患者210例，回顾性分析经射频热凝靶点消融术复合臭氧的临床情况。患者在C臂机引导下，经颈前行颈椎间隙穿刺至靶点，感觉运动测试后，采用神经射频仪对靶点加热热凝，在70℃、80℃、86℃、90℃连续治疗4个周期，每周期60 s，最高温度点300 s。每个椎间盘给予45～50μg/mL 臭氧3 mL，对疗效、并发症进行观察分析。结果：本组经1年随访，优180例，良13例，可13例，差4例，优良率91.9%，术后吞咽疼痛30例，血肿2例，无脊髓损伤及椎间隙感染等并发症。结论：C臂引导下经颈前路穿刺射频热凝靶点热凝联合臭氧注射治疗颈椎间盘突出症是有效、安全的微创治疗，具有操作简单、效果好、并发症少等优点。
目的：探討頸椎間盤突齣癥採取射頻熱凝靶點消融術聯閤臭氧進行治療的細節及臨床療效。方法：2007年5月-2013年5月收治頸椎間盤突齣癥患者210例，迴顧性分析經射頻熱凝靶點消融術複閤臭氧的臨床情況。患者在C臂機引導下，經頸前行頸椎間隙穿刺至靶點，感覺運動測試後，採用神經射頻儀對靶點加熱熱凝，在70℃、80℃、86℃、90℃連續治療4箇週期，每週期60 s，最高溫度點300 s。每箇椎間盤給予45～50μg/mL 臭氧3 mL，對療效、併髮癥進行觀察分析。結果：本組經1年隨訪，優180例，良13例，可13例，差4例，優良率91.9%，術後吞嚥疼痛30例，血腫2例，無脊髓損傷及椎間隙感染等併髮癥。結論：C臂引導下經頸前路穿刺射頻熱凝靶點熱凝聯閤臭氧註射治療頸椎間盤突齣癥是有效、安全的微創治療，具有操作簡單、效果好、併髮癥少等優點。
목적：탐토경추간반돌출증채취사빈열응파점소융술연합취양진행치료적세절급림상료효。방법：2007년5월-2013년5월수치경추간반돌출증환자210례，회고성분석경사빈열응파점소융술복합취양적림상정황。환자재C비궤인도하，경경전행경추간극천자지파점，감각운동측시후，채용신경사빈의대파점가열열응，재70℃、80℃、86℃、90℃련속치료4개주기，매주기60 s，최고온도점300 s。매개추간반급여45～50μg/mL 취양3 mL，대료효、병발증진행관찰분석。결과：본조경1년수방，우180례，량13례，가13례，차4례，우량솔91.9%，술후탄인동통30례，혈종2례，무척수손상급추간극감염등병발증。결론：C비인도하경경전로천자사빈열응파점열응연합취양주사치료경추간반돌출증시유효、안전적미창치료，구유조작간단、효과호、병발증소등우점。
Objective:To explore the details and clinical curative effect of radio frequency thermosetting target ablation combined with ozone in the treatment of cervical disc herniation.Methods:210 patients with cervical disc herniation were selected from May 2007 to May 2013.The clinical circumstance of radio frequency thermosetting target ablation combined with ozone was retrospectively analyzed.Patients were guided under the C arm machine with cervical vertebra puncture to target through anterior portion,after sensorimotor tests,using nerve radiofrequency device on targets heating thermal coagulation,continuous treatment for 4 cycles at 70 ℃,80 ℃,86 ℃,90 ℃,60 s per cycle,and the highest temperature point was 300 s.Each disc was given 45 to 50 μg/mL ozone 3 mL.The effects and complications were observed and analyzed.Results:The group after 1 year of follow-up,180 cases were excellent;13 cases were good;13 cases were ok;4 cases were poor;the excellent and good rate was 91.9%.30 cases were swallowing pain after surgery;2 cases were hematoma.There was no complications such as spinal cord injury and intervertebral infection.Conclusion:Under the C arm guidance through anterior puncture adio frequency thermosetting target ablation combined with ozone in the treatment of cervical disc herniation is a effective and safe minimally invasive surgical technology.It has the advantages of simple operation,good effect,less complications.
