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经皮穿刺臭氧消融术联合局部神经根阻滞治疗腰椎间盘突出 预览 被引量:2

Treatment of lumbar disk herniation by percutaneous ozone ablation combined with local nerve root block
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摘要 目的探讨经皮穿刺臭氧消融术联合局部神经根阻滞(POA-LNRB)对治疗腰椎间盘突出(LDH)的应用价值。方法 25例由CT或MRI证实的LDH患者均经POA-LNRB治疗。按照患者治疗后的临床症状与体征的改善状况,将本组治疗效果分为显著效果,一般效果及无效3级。所有患者于治疗后1、3、6个月均经随访与复查。结果随访证实,本组25例LDH患者中,有12例(48%)显著疗效,7例(28%)一般疗效以及6例(24%)无效,总有效率为76%。CT引导下经皮椎间盘穿刺成功率为100%,未发生与操作本身有关的严重并发症。结论 POA-LNRB治疗LDH疗效显著、微创、安全、简便,具有重要的临床应用价值。 Objective To evaluate the applied value of percutaneous ozone ablation combined with local nerve root block(POA-LNRB) for treating lumbar disk herniation(LDH).Methods Twenty-five patients with LDH confirmed by preoperative computed tomography(CT) and magnetic resonance imaging(MRI) underwent therapy of POA-LNRB.The therapeutic effects were divided into following three grades according to the clinical symptom improvements:obvious effect,general effect and non-effect.All the patients underwent follow-up and reexamination at 1,3 and 6 month after the treatment.Results Follow-up demonstrated 12(48%) cases of obvious effect,7(28%) cases of general effect,and 6(24%) cases of non-effect in 25 LDH patients.The total effective rate was 76%.The successful rate of CT guided percutaneous disk punctures was 100%.There were no severe complications related to the procedure.Conclusion POA-LNRB in treating LDH has many advantages such as obvious effect,less invasive,safe,convenient etc,so that it has important utility.
作者 林川 曹跃勇 陈洪亮 李邦国 Lin Chuan,Cao Yueyong,Chen Hongliang,Li Bangguo.Department of Radiology,Sichuan Provincial Yibin Municipal Second People's Hospital,Yibinshi 644000,China
出处 《实用医学影像杂志》 2011年第4期 261-262,268,共3页 Journal of Practical Medical Imaging
关键词 腰椎间盘突出 臭氧消融术 神经根阻滞 体层摄影术 X线计算机 Lumber disk herniation Ozone ablation Nerve root block Tomography X-ray computed
作者简介 作者简介:林川(1973-),男,四川省宜宾市人,大学本科学历,学士,主治医师,主要从事医学影像诊断及非血管介入。
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  • 1李家开,肖越勇,张金山,田锦林,杨波.CT引导注射臭氧治疗腰椎间盘突出症:臭氧分布类型对疗效的影响[J].中国医学影像学杂志,2008,16(6):438-442. 被引量:13
  • 2俞志坚,何晓峰,陈勇,曾庆乐,刘炽洪,赵忠清,陆勇,李彦豪.经皮腰椎间盘内臭氧注射的动物实验研究[J].中华放射学杂志,2002,36(4):366-369. 被引量:256
  • 3Neruby J,,Caspi I,Levinkopf M.Percutaneous carbon dioxidelaser nucleolysis with 2-to 5-year follow up. Clinical Orthopaedics . 1997 被引量:1
  • 4Andreula CF,Simonetti L,De Santis F,et al.Minimally invasive oxygen-ozone therapy for lumbar disk herniation. American Journal of Neuroradiology . 2003 被引量:1
  • 5Paoloni M,Di Sante L,Cacchio Aet al.Intramuscular oxygen-o-zone therapy in the treatment of acute back pain with lumbar discherniation:a multicenter,randomized,double-blind,clinical trialof active and simulated lumbar paravertebral injection. Spine (Phila Pa 1976) . 2009 被引量:1
  • 6Muto M,Andreula C,Leonardi M.Treatment of herniated lumbar disc by intradiscal and intraforaminal oxygen-ozone(O2-O3)in-jection. Neuroradiology . 2004 被引量:1

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