摘要
目的探讨低剂量CT引导下经皮医用臭氧腰椎间盘注射术治疗腰椎间盘突出症的疗效。方法在低剂量CT扫描引导下,对156例腰椎间盘突出患者采用侧后旁或小关节内侧径路穿刺,进行椎间盘内、盘外注射不同浓度臭氧。结果术后1周,156例中疗效优59例、良63例,优良率78.2%;术后1个月,156例中疗效优63例、良64例,优良率81.4%;术后3个月,总优良率达86%,其中椎间盘膨出、突出、脱出优良率分别为97.4%(37/38)、90.2%(101/112)、3/6;盘内保留臭氧组、不保留组优良率分别为92.0%(46/50)、87.3%(69/79);纤维环完整、破裂优良率分别为92.2%(119/129)、81.5%(22/27)。结论低剂量CT引导下臭氧注射术治疗腰椎间盘突出症疗效确切,且具有安全、创伤小、定位准确、操作简单及辐射剂量小等特点,是腰椎间盘突出理想的治疗手段。
Objective To evaluate the therapeutic effect of percutaneous medical ozone injection in treating lumbar intervertebral disc protrusion under low-dose CT scanning guidance.Methods Under low-dose CT scanning guidance,percutaneous injection of different concentrations of medical ozone was carried out in 156 patients with lumbar intervertebral disc protrusion.The puncturing was performed through the latero-posterior route or medial route of vertebral facets,which was followed by the injection of medical ozone into,or around,the intervertebral disk.Results Of the total 156 patients,excellent and good result at one week after the treatment was obtained in 59 and 63 respectively,with an effective rate of 78.2%.One month after the procedure,the excellent and good result was achieved in 63 and 64 respectively,with an effective rate of 81.4%.Three months after the injection the total effective rate was 86%.The effective rate for disc bulging,protrusion and prolapse was 97.4%（37/38）,90.2%（101/112） and 3/6,respectively.The effective rate in the group that kept ozone within the intervertebral disk and in the group that did not keep ozone within the intervertebral disk was 92.0%（46/50） and 87.3%（69/79） respectively.The effective rate in the group with complete anulus fibrosus and in the group with ruptured anulus fibrosus was 92.2%（119/129） and 81.5%（22/27） respectively.Conclusion For the treatment of lumbar intervertebral disc protrusion percutaneous medical ozone injection under low-dose CT scanning guidance carries reliable therapeutic efficacy.Having the advantages of high safety,less invasiveness,precisely locating ability,simple manipulation and lower radiation exposure dose,this technique is an ideal treatment for lumbar intervertebral disc protrusion.
出处
《介入放射学杂志》
CSCD
北大核心
2011年第5期406-409,共4页
Journal of Interventional Radiology
关键词
低剂量CT
臭氧
腰椎间盘突出
low-dose CT
ozone
lumbar intervertebral disc protrusion
