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[1]竇志剛,李志強.臭氧消融術治療不同突出類型腰椎間盤突出癥的療效比較[J].中醫(yī)正骨,2015,27(01):23-26.
　DOU Zhigang,LI Zhiqiang.Clinical study on ozone ablation for treatment of different types of lumbar disk herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):23-26.
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臭氧消融術治療不同突出類型腰椎間盤突出癥的療效比較()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁碼:
23-26
欄目:
臨床研究
出版日期:
2015-01-15

文章信息/Info

Title:
Clinical study on ozone ablation for treatment of different types of lumbar disk herniation
作者:
竇志剛1; 李志強2
1.河南省漯河市中醫(yī)院,河南 漯河 462000;
2.河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002
Author(s):
DOU Zhigang1; LI Zhiqiang2
1. Luohe Hospital of Traditional Chinese Medicine,Luohe 462000,Henan,China
2. Luoyang Orthopedic-Traumatological Hospital,Luoyang 471002,Henan,China
關鍵詞:
椎間盤移位;  腰椎;  臭氧;  外科手術; 微創(chuàng)性;  回顧性研究
Keywords:
intervertebral disc displacement;  lumbar vertebrae;  ozone;  surgical procedures; minimally invasive;  retrospective studies
摘要:
目的:比較臭氧消融術對4種不同突出類型腰椎間盤突出癥的臨床療效。方法:回顧性分析138例接受過臭氧消融術治療的單節(jié)段腰椎間盤突出癥患者的病例資料,按CT圖像上病變椎間盤的突出情況分型,中央型53例、旁中央型36例、側(cè)隱窩型31例、外側(cè)型18例。比較治療前、治療結(jié)束后和末次隨訪時采用視覺模擬評分法(visual analogue score,VAS)評定的腰腿痛情況,以及治療結(jié)束后和末次隨訪時采用Macnab腰腿痛手術療效評價標準評定的療效評定結(jié)果。結(jié)果:治療后2周3例患者癥狀未見緩解,接受手術治療,其中旁中央型1例、側(cè)隱窩型2例,其余135例患者均獲得隨訪,隨訪時間3～6個月,中位數(shù)5個月。治療前4組患者腰腿痛VAS評分比較,差異無統(tǒng)計學意義[(5.06±1.22)分,(4.97±1.18)分,(5.00±1.13)分,(5.06±1.00)分,F=0.046,P=0.987]。治療結(jié)束后及末次隨訪時4組患者腰腿痛VAS評分比較,組間差異均有統(tǒng)計學意義[(1.38±0.97)分,(1.53±1.08)分,(2.48±1.26)分,(1.56±0.92)分,F=7.657,P=0.000;(1.21±0.91)分,(1.47±1.00)分,(2.35±1.31)分,(1.44±0.86)分,F=8.439,P=0.000]; 中央型、旁中央型及外側(cè)型患者的VAS評分均高于側(cè)隱窩型(P=0.000,P=0.000; P=0.001,P=0.003; P=0.009,P=0.011),其余各組間兩兩比較,組間差異均無統(tǒng)計學意義。治療結(jié)束后及末次隨訪時,中央型、旁中央型及外側(cè)型患者的臨床療效均優(yōu)于側(cè)隱窩型(R^-中央型=59.40,R^-旁中央型=67.22,R^-外側(cè)型=66.44,R^-側(cè)隱窩型=91.19,χ2=14.017,P=0.003; R^-中央型=61.93,R^-旁中央型=64.73, R^-外側(cè)型=64.39,R^-側(cè)隱窩型=85.28,χ2=9.603,P=0.035)。結(jié)論:臭氧消融術可迅速緩解腰椎間盤突出癥患者的腰腿痛癥狀,臨床療效顯著; 與中央型、旁中央型及外側(cè)型相比,該方法對側(cè)隱窩型的療效較差,臨床治療時可聯(lián)合應用其他介入療法。
Abstract:
Objective:To compare the clinical effects of ozone ablation in the treatment of four types of lumbar disk herniation(LDH).Methods:The medical records of 138 patients with single segment LDH who were treated with ozone ablation were analyzed retrospectively.The LDH belonged to central type(53),lateral central type(36),lateral recess type(31)and lateral type(18).Lumbocrural pain were observed and compared between the 2 groups before the treatment and after the treatment and at last follow-up respectively by using the visual analogue scale(VAS).The curative effects were evaluatd according to Macnab lumbocrural pain efficacy criteria and were compared between the 2 groups after the end of the treatment and at last follow-up.Results:Three patients,belonged to central type(1)and lateral recess type(2),received operation at 2 weeks after the treatment because of poor curative effect; while all of the others were followed up for 3-6 months with a median of 5 months.There was no statistical difference in VAS scores between the 4 groups before the treatment(5.06+/-1.22,4.97+/-1.18,5.00+/-1.13,5.06+/-1.00 points,F=0.046,P=0.987).There was statistical difference in VAS scores between the 4 groups after the end of the treatment and at last follow-up(1.38+/-0.97,1.53+/-1.08,2.48+/-1.26,1.56+/-0.92 points,F=7.657,P=0.000; 1.21+/-0.91,1.47+/-1.00,2.35+/-1.31,1.44+/-0.86 points,F=8.439,P=0.000).The VAS scores of central type,lateral central type and lateral type were higher than that of the lateral recess type(P=0.000,P=0.000; P=0.001,P=0.003; P=0.009,P=0.011).There was no statistical difference between the rest paired groups.The central type,lateral central type and lateral type surpassed the lateral recess type in the total curative effect after the end of the treatment and at last follow-up(R^-central type=59.40,R^-lateral central type=67.22,R^-lateral type=66.44,R^-lateral recess type=91.19,χ2=14.017,P=0.003; R^-central type=61.93,R^-lateral central type=64.73,R^-lateral type=64.39,R^-lateral recess type=85.28,χ2=9.603,P=0.035).Conclusion:Ozone ablation can rapidly relieve lumbocrural pain of the patients with LDH and it has significant curative effect on LDH except for lateral recess type,which would be treated in combination with other interventional therapies.

參考文獻/References:

[1] 李振.阿斯哈爾,谷淑梅.多種介入方法聯(lián)合應用治療腰椎間盤突出癥256例療效觀察[J].介入放射學雜志,2011,20(1):45-47.
[2] 中華醫(yī)學會放射學分會介入學組.腰椎間盤突出癥的介入和微創(chuàng)治療操作規(guī)范的專家共識[J].中華放射學雜志,2014,48(1):10-12.
[3] 韓松輝,張敏,孔凡國,等.醫(yī)用臭氧治療腰椎間盤突出癥療效觀察[J].中醫(yī)正骨,2009,21(5):25-27.
[4] 肖文慶,杜海峽,程立軍,等.經(jīng)皮激光椎間盤汽化減壓加臭氧消融術治療腰椎間盤突出癥[J].中醫(yī)正骨,2011,23(8):60-62.
[5] 胡有谷.腰椎間盤突出癥[M].北京:人民衛(wèi)生出版社,2011:173-175.
[6] 楊洸.腰腿痛防止手冊[M].北京:九州出版社,2011:44-46.
[7] 國家中醫(yī)藥管理局.中醫(yī)病證診斷療效標準[S].南京:南京大學出版社,1994:201.
[8] 陳立,張明月,蘭秀芳,等.仰臥拔伸手法結(jié)合頸肌等長收縮鍛煉治療頸型頸椎病的臨床研究[J].中醫(yī)正骨,2013,25(10):17-20, 23.
[9] Macnab I.Negative disc exploration.An analysis of the causes of nerve-root involvement in sixty-eight patients[J].J Bone Joint Surg Am,1971,53(5):891-903.
[10] 陳智能,謝麗麗,葉俊材,等.椎間盤造影經(jīng)皮激光椎間盤汽化減壓術聯(lián)合臭氧消融術治療椎間盤源性腰痛[J].中醫(yī)正骨,2014,26(3):49-50, 53.
[11] 彭靜,邢輝,張鉑,等.臭氧治療腰椎間盤突出癥104例療效分析[J].介入放射學雜志,2010,19(2):114-116.
[12] 魏漢賢,許俊榆,吳海斌,等.臭氧關節(jié)腔內(nèi)注射聯(lián)合充髓通絡湯離子導入治療膝骨關節(jié)炎[J].中醫(yī)正骨,2014(4):70-71.
[13] 王俊杰,楊春燕,王隨修.臭氧溶解術治療腰椎間盤突出癥[J].中醫(yī)正骨,2008,20(10):56.
[14] 黃章洪,王俊軍,江光明,等.盤內(nèi)注射小劑量臭氧治療腰椎間盤突出癥80例臨床觀察[J].頸腰痛雜志,2013,34(5):420-421.
[15] 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.
[16] 高宗根,殷世武,項廷淼,等.臭氧聯(lián)合膠原酶注射與單純臭氧治療腰椎間盤突出癥的療效觀察[J].介入放射學雜志,2011,20(1):42-44.

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備注/Memo

備注/Memo:
2014-10-11收稿 2014-11-18修回
更新日期/Last Update: 2015-01-30