目的评价经皮椎间盘内医用臭氧注射治疗腰椎间盘突出症的疗效.方法 124例腰椎间盘突出症患者在透视下用21 G酒精针穿刺病变椎间盘并注射浓度为40 μg/ml的臭氧气体6~10 ml,退针至椎间孔附近时,向椎旁组织内注入臭氧10 ml.结果 124例患者随访6~18个月,显效31.5 %,有效45.1 %,无效23.4 %,总有效率76.6 %.大多数患者在术后0.5个月至1个月时取得较好的疗效.未发现严重并发症.结论经皮椎间盘内医用臭氧注射是治疗腰椎间盘突出症的一种有效、安全的微创方法.
Objective To evaluate the effect of percutaneous intradiscal ozone-injection in the treatment of lumbar disc herniation.Methods One hundreds and twenty-four patients with lumbar disc herniation were injected 6-10 ml medical ozone into discs with 21 G needles under fluoroscopic guidance,and 10 ml of medical ozone were also injected into the paravertebral space when the needle was withdrawn near the intervertebral foramen.The ozone concentration was 40 μg/ml.Results All patients were followed up over the period of 6-18 months.The overall efficacy was 76.6 % with the excellent 31.5 %,the good 45.1% and the fair/poor 23.4% respectively.Most of the patients obtained therapeutic effect in the period of half to 1 month after treatment.No severe complications were found throughout this study.Conclusion Percutaneous intradiscal ozone-injection is an effective and safe method for treatment of lumbar disc herniation.