摘要
目的探讨射频热凝术联合臭氧治疗椎间盘源性腰痛患者的临床效果。方法收集2013年10月—2015年10月在我院采用射频热凝术联合臭氧治疗的120例腰椎间盘突出症患者的临床资料。手术前后疼痛情况采用疼痛视觉模拟(VAS)评分(于患者术前和术后1周,1、3、6、12个月给予),健康调查简表(SF-36)评分(于患者术前及术后6个月给予)。疗效评定采用改良Mac Nab标准。结果患者VAS评分术前为7.02±0.64,术后1周,1、3、6、12个月时分别为3.13±0.32、2.11±0.67、2.62±0.89、2.37±0.34、2.31±0.50,术后均较术前降低(P<0.05)。患者术前SF-36评分为48.32±7.46,术后6个月(82.03±5.89)较术前增加(P<0.05)。术后6个月改良Mac Nab标准评定结果显示患者优良率为89.17%。结论射频热凝术联合臭氧治疗椎间盘源性腰痛是一种有效、可靠的方法。
Objective To investigate the clinical efficacy of radiofrequency surgical therapy combined with ozone forpatients with discogenic low back pain. Methods The clinical data were collected in 120 patients treated with radiofrequen-cy and ozone for lumbar disc herniation at Tianjin Hospital from October 2013 to October 2015. Pain visual analogue scale(VAS) was used to patients at preoperative and postoperative 1 week, 1, 3, 6 and 12 months. Health survey(SF-36) score wasused at preoperative and postoperative six months. The efficacy was evaluated by Mac Nab curative effect evaluation. Results The preoperative VAS score was(7.02±0.64) points. The postoperative VAS scores were(3.13±0.32) points,(2.11±0.67) points,(2.62±0.89) points,(2.37±0.34) points and(2.31±0.50) points at one week, one month, three months, six monthsand twelve months, respectively. The VAS scores were significantly decreased after surgery(P〈0.05). Preoperative SF-36 score was(48.32 ± 7.46) points, which reached to the(82.03 ± 5.89) points six months after surgery(P〈0.05). After sixmonths, the fineness rate reached to 89.17% evaluated by Mac Nab curative effect evaluation. Conclusion Radiofrequencycombined with ozone treatment is an effective and reliable method for discogenic low back pain.
出处
《天津医药》
CAS
2016年第3期278-280,共3页
Tianjin Medical Journal
关键词
椎间盘移位
臭氧
射频热凝术
臭氧注射术
腰椎间盘突出症
intervertebral disk displacement
ozone
radio frequency surgery
three oxygen injection
lumbar disc herniation