摘要
目的探讨 CT 导向下臭氧消融术治疗颈椎间盘突出的效果。方法 86例颈椎间盘突出患者中脊髓型37例,神经根型30例,交感型19例;在 CT 导向下经颈部侧前方斜向途径穿刺,于盘内注射浓度为60 μg/ml 臭氧(4±3)ml;椎旁组织内注射40 μg/ml 浓度的臭氧10 ml。11例合并颈型颈椎病患者感颈肩部疼痛,于消融术1周后进行了颈部背侧肌内臭氧注射。结果 37例脊髓型和30例神经根型颈椎病注射臭氧后 CT 扫描显示臭氧在间盘和突出物内分布呈低密度气体影。19例交感型颈椎病注射臭氧后可见低密度气体影扩散于椎管内硬膜外前间隙和椎旁组织内。治疗后3个月随访:86例患者中67例患者达到显效指标,占全部病例的78%;14例患者达到有效指标,占16%;5例患者无效,占6%。结论 CT 导向下颈椎间盘突出臭氧消融治疗安全、方法简便,为早、中期颈椎间盘突出治疗的微创方法。
Objective To explore the value of CT guided ozone （03 ） injection in the ablation treatment of cervical spondylosis. Methods All 86 patients with cervical spundylosis including 37 myelopathy type, 30 radiculopathy type, and 16 sympathetic type were treated with 03 injection under CT guidance. The puncture rout was from the anteroparaline of neck to the disk. A total of （4±3）ml of O3 with concentration 60 μg/ml was injected into the disk and 10 ml of 03 with concentration 40 μg/ml was injected to the paraspinal tissue. Results After injection CT scan showed that O3 was distributed within the disk and the protruding part as low-density air shadow in 37 myelopathy type and 30 radiculopathy type patients. O3 was observed to spread in the anterior epidural space of spinal canal and the paraspinal tissue. Three months after 03 injection, 67 patients （78%） showed excellent clinical efficacy, 14 （16%） had good clinical efficacy, and 5 （6%） were poor respectively. Condusion CT guided O3 injection is an accurate, safe, and effective method in the treatment of cervical spondylosis.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2007年第4期397-400,共4页
Chinese Journal of Radiology
关键词
颈椎
椎间盘移位
椎间盘化学松解术
臭氧
体层摄影术
X线计算机
Cervical vertebra
Intervertebral disk diskplacemen
Intervertebral disk chemolysis
Ozone
Tomography,X-ray computed
