84年鼠女哪年财运最旺,857comvvv色九欧美激情|85PO_87国产精品欲av国产av资源

[1]竇志剛,李志強(qiáng).臭氧消融術(shù)治療不同突出類(lèi)型腰椎間盤(pán)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.
點(diǎn)擊復(fù)制

臭氧消融術(shù)治療不同突出類(lèi)型腰椎間盤(pán)突出癥的療效比較()
分享到：

《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁(yè)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(qiáng)2
1.河南省漯河市中醫(yī)院,河南 漯河 462000;
2.河南省洛陽(yáng)正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽(yáng) 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(guān)鍵詞:
椎間盤(pán)移位;  腰椎;  臭氧;  外科手術(shù); 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(shù)對(duì)4種不同突出類(lèi)型腰椎間盤(pán)突出癥的臨床療效。方法:回顧性分析138例接受過(guò)臭氧消融術(shù)治療的單節(jié)段腰椎間盤(pán)突出癥患者的病例資料,按CT圖像上病變椎間盤(pán)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(shí)采用視覺(jué)模擬評(píng)分法(visual analogue score,VAS)評(píng)定的腰腿痛情況,以及治療結(jié)束后和末次隨訪時(shí)采用Macnab腰腿痛手術(shù)療效評(píng)價(jià)標(biāo)準(zhǔn)評(píng)定的療效評(píng)定結(jié)果。結(jié)果:治療后2周3例患者癥狀未見(jiàn)緩解,接受手術(shù)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(shí)間3～6個(gè)月,中位數(shù)5個(gè)月。治療前4組患者腰腿痛VAS評(píng)分比較,差異無(wú)統(tǒng)計(jì)學(xué)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(shí)4組患者腰腿痛VAS評(píng)分比較,組間差異均有統(tǒng)計(jì)學(xué)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(píng)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(wú)統(tǒng)計(jì)學(xué)意義。治療結(jié)束后及末次隨訪時(shí),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(shù)可迅速緩解腰椎間盤(pán)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(duì)側(cè)隱窩型的療效較差,臨床治療時(shí)可聯(lián)合應(yīng)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(xiàn)/References:

[1] 李振.阿斯哈爾,谷淑梅.多種介入方法聯(lián)合應(yīng)用治療腰椎間盤(pán)突出癥256例療效觀察[J].介入放射學(xué)雜志,2011,20(1):45-47.
[2] 中華醫(yī)學(xué)會(huì)放射學(xué)分會(huì)介入學(xué)組.腰椎間盤(pán)突出癥的介入和微創(chuàng)治療操作規(guī)范的專(zhuān)家共識(shí)[J].中華放射學(xué)雜志,2014,48(1):10-12.
[3] 韓松輝,張敏,孔凡國(guó),等.醫(yī)用臭氧治療腰椎間盤(pán)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(pán)汽化減壓加臭氧消融術(shù)治療腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2011,23(8):60-62.
[5] 胡有谷.腰椎間盤(pán)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(cè)[M].北京:九州出版社,2011:44-46.
[7] 國(guó)家中醫(yī)藥管理局.中醫(yī)病證診斷療效標(biāo)準(zhǔn)[S].南京:南京大學(xué)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(zhǎng)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(pán)造影經(jīng)皮激光椎間盤(pán)汽化減壓術(shù)聯(lián)合臭氧消融術(shù)治療椎間盤(pán)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(pán)突出癥104例療效分析[J].介入放射學(xué)雜志,2010,19(2):114-116.
[12] 魏漢賢,許俊榆,吳海斌,等.臭氧關(guān)節(jié)腔內(nèi)注射聯(lián)合充髓通絡(luò)湯離子導(dǎo)入治療膝骨關(guān)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(shù)治療腰椎間盤(pán)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(pán)內(nèi)注射小劑量臭氧治療腰椎間盤(pán)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(pán)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(xiàng)廷淼,等.臭氧聯(lián)合膠原酶注射與單純臭氧治療腰椎間盤(pán)突出癥的療效觀察[J].介入放射學(xué)雜志,2011,20(1):42-44.

相似文獻(xiàn)/References:

[1]鄧紅軍.硫酸鈣骨水泥椎體成形聯(lián)合后路短節(jié)段椎弓根螺釘 內(nèi)固定治療創(chuàng)傷性胸腰椎骨折[J].中醫(yī)正骨,2015,27(10):35.
[2]張莉,秦丹霞,張細(xì)姣.腹針治療椎間盤(pán)源性腰痛[J].中醫(yī)正骨,2015,27(10):38.
[3]吳青坡,孫國(guó)紹,王林杰.后路椎管減壓聯(lián)合腰椎椎弓根釘動(dòng)態(tài)穩(wěn)定裝置內(nèi)固定 治療單節(jié)段腰椎退行性疾病[J].中醫(yī)正骨,2015,27(10):42.
[4]郭小偉,梅偉,潘玉林,等.一期后路病灶清除納米仿生骨椎體支撐體植骨融合 內(nèi)固定治療胸腰椎結(jié)核[J].中醫(yī)正骨,2015,27(07):66.
[5]孫廣江,崔海艦.絡(luò)病理論指導(dǎo)下應(yīng)用獨(dú)活寄生湯加減治療腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(12):37.
　SUN Guangjiang,CUI Haijian.Clinical study on oral application of Duhuo Jisheng Tang Jiajian(獨(dú)活寄生湯加減)under the guidance of collaterals disease theory for treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):37.
[6]阮朝陽(yáng),曾強(qiáng)華,朱群威.口服消栓口服液和甲鈷胺膠囊治療腰椎間盤(pán)突出癥 經(jīng)皮椎間孔鏡術(shù)后下肢殘留神經(jīng)癥狀[J].中醫(yī)正骨,2015,27(12):71.
[7]陳冠軍,陳揚(yáng),莊汝杰.可灌注骨水泥椎弓根螺釘系統(tǒng) 在老年腰椎疾患手術(shù)中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):40.
[8]萬(wàn)宏波,馬海燕,蔣云霞,等.口服益氣化瘀湯聯(lián)合功能鍛煉治療腰椎退行性疾病 術(shù)后殘留腰腿痛的臨床研究[J].中醫(yī)正骨,2015,27(06):1.
　WAN Hongbo,MA Haiyan,JIANG Yunxia,et al.Clinical study on oral application of Yiqi Huayu Tang(益氣化瘀湯)combined with functional exercise for the treatment of postoperative residual lumbocrural pain in patients with lumbar degenerative disease[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):1.
[9]賀振年,康信勇,徐洪偉,等.骨盆矢狀位參數(shù)對(duì)退行性腰椎滑脫癥的影響[J].中醫(yī)正骨,2015,27(06):19.
　HE Zhennian,KANG Xinyong,XU Hongwei,et al.Effect of pelvic parameters in the sagittal plane on degenerative lumbar spondylolisthesis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):19.
[10]李鵬,徐世濤,譚磊.椎旁肌間隙入路傷椎單側(cè)植骨內(nèi)固定治療 單節(jié)段胸腰椎骨折[J].中醫(yī)正骨,2015,27(06):43.
[11]徐幫杰,楊楠,白偉杰,等.坐位定點(diǎn)旋轉(zhuǎn)整復(fù)法治療腰椎間盤(pán)突出癥的療效觀察[J].中醫(yī)正骨,2015,27(11):17.
　XU Bangjie,YANG Nan,BAI Weijie,et al.Observation on the curative effect of fixed-point rotational reduction in sitting position in the treatment of lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):17.
[12]白春曉,賈育松,孫旗,等.中醫(yī)藥在腰椎間盤(pán)突出癥圍手術(shù)期應(yīng)用的研究進(jìn)展[J].中醫(yī)正骨,2015,27(11):65.
[13]王少純,周英杰.郭維淮教授運(yùn)用活血益氣通經(jīng)湯治療腰椎間盤(pán)突出癥的經(jīng)驗(yàn)[J].中醫(yī)正骨,2015,27(11):75.
[14]蘇洪,張雪林.患側(cè)下肢牽引配合腰椎斜扳法治療 極外側(cè)型腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(10):40.
[15]謝冬群,黃中梁,葉金麗.加強(qiáng)隔附子餅灸治療腎陽(yáng)虛型腰椎間盤(pán)突出癥的 臨床研究[J].中醫(yī)正骨,2015,27(09):18.
　XIE Dongqun,HUANG Zhongliang,YE Jinli.Clinical study on intensive aconite root cake separated moxibustion in the treatment of kidney-yang-deficiency-type lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):18.
[16]沈海良,錢(qián)萬(wàn)鋒,周驍棟.針刀松解聯(lián)合局部封閉與口服中藥治療腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(09):46.
[17]王仁燦,黃炎洪,潘偉江,等.45°肩踝懸吊牽引下撞擊腰椎療法治療L5S1椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(08):51.
[18]任博文,楊豪.口服桂葛萆薢湯加減配合功能鍛煉治療 寒濕型腰椎間盤(pán)突出癥[J].中醫(yī)正骨,2015,27(08):53.
[19]丁曉醫(yī),周子靜.射頻熱凝聯(lián)合臭氧注射治療腰椎間盤(pán)突出癥的護(hù)理[J].中醫(yī)正骨,2015,27(12):81.
[20]仇湘中,蔣盛昶,張信成,等.紅外熱成像圖在腰椎間盤(pán)突出癥證候療效評(píng)定中的應(yīng)用[J].中醫(yī)正骨,2015,27(02):17.
　QIU Xiangzhong,JIANG Shengchang,ZHANG Xincheng,et al.Application of infrared thermal imaging to curative effect evaluation of SYMPTOM COMPLEX for patients with lumbar disc herniation[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2015,27(01):17.

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