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[1]彭濤,姚新苗,呂一,等.臭氧消融聯(lián)合射頻熱凝治療腰椎間盤突出癥臨床研究[J].中醫(yī)正骨,2013,25(11):13-15.
　Peng Tao*,Yao Xinmiao,Lyu Yi,et al.Therapeutic effect of ozone ablation combined with radiofrequency thermocoagulation on the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2013,25(11):13-15.
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臭氧消融聯(lián)合射頻熱凝治療腰椎間盤突出癥臨床研究()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年11期
頁碼:
13-15
欄目:
臨床研究
出版日期:
2013-11-30

文章信息/Info

Title:
Therapeutic effect of ozone ablation combined with radiofrequency thermocoagulation on the treatment of lumbar disc herniation
作者:
彭濤1; 姚新苗2; 呂一2; 胡涌亮3; 管四炎3
1.浙江中醫(yī)藥大學(xué),浙江 杭州 310053;
2.浙江中醫(yī)藥大學(xué)附屬第三醫(yī)院, 浙江 杭州 310005;
3.浙江省衢州市柯城區(qū)人民醫(yī)院,浙江 衢州 324000
Author(s):
Peng Tao*; Yao Xinmiao; Lyu Yi; Hu Yongliang; Guan Siyan.*
Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China
關(guān)鍵詞:
椎間盤移位 腰椎 臭氧 治療; 臨床研究性
Keywords:
Intervertebral disk displacement;  Lumbar vertebrae;  Ozone;  Therapies; investigational
摘要:
目的:比較臭氧消融聯(lián)合射頻熱凝與單純臭氧消融治療腰椎間盤突出癥的臨床效果。方法:將80例腰椎間盤突出癥患者隨機(jī)2組,每組40例。治療組采用臭氧消融聯(lián)合射頻熱凝治療,對照組采用單純臭氧消融治療。治療后采用MacNab法評定2組患者的臨床療效,并測定2組患者腓總神經(jīng)和脛后神經(jīng)肌電圖F波傳導(dǎo)速度。結(jié)果:①臨床療效。治療組顯效29例、有效9例、無效2例,對照組顯效13例、有效22例、無效5例,治療組臨床療效優(yōu)于對照組(u=1 299.500,P=0.001)。②肌電圖F波傳導(dǎo)速度。治療前2組患者腓總神經(jīng)和脛后神經(jīng)肌電圖F波傳導(dǎo)速度比較,差異均無統(tǒng)計學(xué)意義[(21.725±3.218)m·s-1,(21.475±3.178)m·s-1,t=0.316,P=0.753;(19.950±2.900)m·s-1,(19.750±3.028)m·s-1,t=1.818,P=0.077],治療后治療組腓總神經(jīng)和脛后神經(jīng)肌電圖F波傳導(dǎo)速度均高于對照組[(48.900±4.733)m·s-1,(39.000±4.669)m·s-1,t=106.030,P=0.000;(44.200±2.928)m·s-1,(34.025±2.885)m·s-1,t=60.741,P=0.000]。結(jié)論:臭氧消融聯(lián)合射頻熱凝可有效緩解腰椎間盤突出癥患者的臨床癥狀,改善下肢神經(jīng)功能,療效優(yōu)于單純臭氧消融治療。
Abstract:
Objective:To compare the clinical effects of ozone ablation combined with radiofrequency thermocoagulation versus ozone ablation on the treatment of lumbar disc herniation(LDH).Methods:Eighty patients with LDH were randomly divided into treatment group and control group,40 cases in each group.Patients in treatment group were treated with Ozone ablation combined with radiofrequency thermocoagulation,while the others in control group were treated with Ozone ablation only.The curative effects were evaluated according to assessed MacNab,and F-wave conduction velocity of electromyography(EMG)on peroneal nerve and posterior tibial nerve were measured in the 2 groups after the treatment.Results:Twenty-nine patients obtained an excellent clinical curative effects,9 good,and 2 poor in the treatment group,while 13 patients obtained an excellent clinical curative effects,22 good,and 5 poor in the control group.The treatment group surpassed the control group in the total curative effect(u=1 299.500,P=0.001).There was no statistical difference in the F-wave conduction velocity of EMG on peroneal nerve and posterior tibial nerve between the 2 groups before the treatment(21.725+/-3.218 vs 21.475+/-3.178 m/s,t=0.316,P=0.753; 19.950+/-2.900 m/s vs 19.750+/-3.028 m/s,t=1.818,P=0.077),and the F-wave conduction velocity of EMG on peroneal nerve and posterior tibial nerve in treatment group were higher than that of the control group(48.900+/-4.733 vs 39.000+/-4.669 m/s,t=106.030,P=0.000; 44.200+/-2.928 vs 34.025+/-2.885 m/s,t=60.741,P=0.000).Conclusion:The therapy of Ozone ablation combined with radiofrequency thermocoagulation can effectively relieve the clinical symptoms in patients with LDH,and improve the nerve function of lower limb,and its curative effect is better than that of ozone ablation.

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備注/Memo

備注/Memo:
2013-07-21收稿 2013-10-05修回
更新日期/Last Update: 2013-11-30