臭氧联合射频等离子消融术治疗腰椎间盘突出症110例临床分析
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摘要
目的探析腰椎间盘突出症110例进行射频等离子消融术与臭氧联合疗法的临床效果分析。方法临床选择110例于2014年7月～2015年5月期间本院收治的腰椎间盘突出症患者,随机分为对照组和观察组,每组55例,对照组仅进行射频等离子消融术疗法,观察组进行射频等离子消融术与臭氧联合疗法,比较两组术情况。结果术后1个月观察组、对照组临床优良率分别为76.4%、50.9%,观察组明显优于对照组(P<0.05);观察组术后1、3个月的视觉模拟评分情况(1.8±0.9)、(1.2±0.6)分明显要低于对照组(3.2±1.2)、(2.5±0.9)分(P<0.05)。结论腰椎间盘突出症患者进行射频等离子消融术与臭氧联合疗法可显著缓解病情疼痛状况,临床效果确切。
Objective To analyze the clinical effect of radio frequency plasma ablation combined with ozone therapy in 110 cases with protrusion of lumbar intervertebral disc. Methods 110 patients with protrusion of lumbar intervertebral disc treated from July 2014 to May 2015 in our hospital were selected.The subjects were randomly divided into control group and observation group,55 cases in each group.The patients of control group were just treated with the radio frequency plasma ablation,the patients of observation group were treated with the radio frequency plasma ablation combined with ozone therapy.The postoperative conditions of the two groups were compared. Results After 1 month of treatment,the clinical excellent and good rate of observation group(76.4%) was significantly higher than that of control group(50.9%)(P < 0.05). After 1 and 3 month of treatment,the visual analogue score of observation group were(1.8±0.9),(1.2±0.6) points,and of control group were(3.2±1.2),(2.5±0.9) points,the score of the observation group was lower than that of the control group(P < 0.05). Conclusion The radio frequency plasma ablation combined with ozone therapy can significantly alleviate the condition of the pain in patients with protrusion of lumbar intervertebral disc,and the clinical effect is exact.
Objective To analyze the clinical effect of radio frequency plasma ablation combined with ozone therapy in 110 cases with protrusion of lumbar intervertebral disc. Methods 110 patients with protrusion of lumbar intervertebral disc treated from July 2014 to May 2015 in our hospital were selected.The subjects were randomly divided into control group and observation group,55 cases in each group.The patients of control group were just treated with the radio frequency plasma ablation,the patients of observation group were treated with the radio frequency plasma ablation combined with ozone therapy.The postoperative conditions of the two groups were compared. Results After 1 month of treatment,the clinical excellent and good rate of observation group(76.4%) was significantly higher than that of control group(50.9%)(P < 0.05). After 1 and 3 month of treatment,the visual analogue score of observation group were(1.8±0.9),(1.2±0.6) points,and of control group were(3.2±1.2),(2.5±0.9) points,the score of the observation group was lower than that of the control group(P < 0.05). Conclusion The radio frequency plasma ablation combined with ozone therapy can significantly alleviate the condition of the pain in patients with protrusion of lumbar intervertebral disc,and the clinical effect is exact.
引文
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[7]马永强,李水清,柳晨,等.选择性神经根阻滞联合脉冲射频治疗不同病程腰椎间盘突出症临床效果评价[J].中国疼痛医学杂志,2014,20(9):643-645,649.
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[10]路鹏程,黄国志,吴文,等.射频热凝靶点消融结合臭氧注射治疗不同类型腰椎间盘突出症的近期疗效[J].中国康复医学杂志,2013,28(3):258-261.
[11]于龙潭,李鹏,张力,等.低温等离子射频消融术与臭氧注射术治疗腰椎间盘突出症的疗效分析[J].潍坊医学院学报,2015,37(5):349-350.
[12]黄莹,林建,陶高见,等.硬膜外麻醉下椎间孔镜治疗腰椎间盘突出症的疗效分析[J].中国疼痛医学杂志,2017,23(3):238-240.
[13]冯皓宇,何李明,马迅,等.经皮内镜下腰椎间盘髓核切除术的应用进展[J].中国微创外科杂志,2015,15(3):272-275.
[14]银和平,李树文,杜志才,等.经皮穿刺切吸与臭氧射频组合应用治疗腰椎间盘突出症[J].中国骨与关节损伤杂志,2014,29(7):672-674.
[15]彭志华,张胜,蔡迎峰,等.等离子射频消融髓核成形术治疗腰椎间盘突出症32例[J].广州医药,2012,43(1):12-14.
[2]卢帆,樊宇超,梁琳,等.射频热凝联合臭氧消融治疗腰椎间盘突出症的Meta分析[J].中国疼痛医学杂志,2015,21(6):441-448.
[3]刘益鸣,张婷杰,冯艺,等.CT引导下低温等离子射频消融术联合臭氧治疗包容型腰椎间盘突出症的疗效分析[J].中国疼痛医学杂志,2015,21(3):197-207.
[4]郭文军,梁庆华,叶关权.射频联合臭氧髓核消融术治疗颈腰椎椎间盘突出症的临床观察[J].微创医学,2016,11(1):36-38.
[5]阳中华.臭氧消融联合射频热凝治疗腰椎间盘突出症30例的临床分析[J].当代医学,2016(4):78-79.
[6]陈玉明,金格勒.经皮靶点射频热凝联合穿通式臭氧注射治疗腰椎间盘突出症的效果[J].中国老年学杂志,2013,33(16):3865-3867.
[7]马永强,李水清,柳晨,等.选择性神经根阻滞联合脉冲射频治疗不同病程腰椎间盘突出症临床效果评价[J].中国疼痛医学杂志,2014,20(9):643-645,649.
[8]侯俊奎,杨长波,吝燕斌,等.CT引导下靶位注射胶原酶治疗腰椎间盘突出症36例[J].中国药业,2014,8(21):98-99.
[9]瞿群威,沈玉杰.低温等离子靶点消融术联合臭氧治疗腰椎间盘突出症的临床研究[J].中国疼痛医学杂志,2017,23(2):144-147.
[10]路鹏程,黄国志,吴文,等.射频热凝靶点消融结合臭氧注射治疗不同类型腰椎间盘突出症的近期疗效[J].中国康复医学杂志,2013,28(3):258-261.
[11]于龙潭,李鹏,张力,等.低温等离子射频消融术与臭氧注射术治疗腰椎间盘突出症的疗效分析[J].潍坊医学院学报,2015,37(5):349-350.
[12]黄莹,林建,陶高见,等.硬膜外麻醉下椎间孔镜治疗腰椎间盘突出症的疗效分析[J].中国疼痛医学杂志,2017,23(3):238-240.
[13]冯皓宇,何李明,马迅,等.经皮内镜下腰椎间盘髓核切除术的应用进展[J].中国微创外科杂志,2015,15(3):272-275.
[14]银和平,李树文,杜志才,等.经皮穿刺切吸与臭氧射频组合应用治疗腰椎间盘突出症[J].中国骨与关节损伤杂志,2014,29(7):672-674.
[15]彭志华,张胜,蔡迎峰,等.等离子射频消融髓核成形术治疗腰椎间盘突出症32例[J].广州医药,2012,43(1):12-14.