天津医药

天津医药 ›› 2016, Vol. 44 ›› Issue (3): 278-280.doi: 10.11958/20160046

• 专题研究-骨疾病 • 上一篇    下一篇

射频热凝术结合臭氧治疗椎间盘源性腰痛的临床效果

徐进， 马信龙， 孙晓雷， 赵志虎   

  1. 天津医院疼痛科
  • 收稿日期:2016-02-01 修回日期:2016-02-22 出版日期:2016-03-15 发布日期:2016-03-15
  • 通讯作者: 马信龙 E-mail:doctorjinjin@163.com
  • 作者简介:徐进（1980）， 男， 硕士， 主治医师， 主要从事麻醉和疼痛医学研究

Radiofrequency combined with ozone therapy in patients with discogenic low back pain

XU Jin, MA Xinlong, SUN Xiaolei, ZHAO Zhihu   

  1. Pain Department of Tianjin Hospital, Tianjin 300211, China
  • Received:2016-02-01 Revised:2016-02-22 Published:2016-03-15 Online:2016-03-15
  • Contact: MA Xinlong E-mail:doctorjinjin@163.com

PDF (PC)

3844

摘要： 目的 探讨射频热凝术联合臭氧治疗椎间盘源性腰痛患者的临床效果。 方法 收集 2013 年 10 月— 2015 年 10 月在我院采用射频热凝术联合臭氧治疗的 120 例腰椎间盘突出症患者的临床资料。 手术前后疼痛情况采用疼痛视觉模拟（VAS）评分（于患者术前和术后 1 周， 1、3、6、12 个月给予）， 健康调查简表（SF-36）评分（于患者术前及术后 6 个月给予）。 疗效评定采用改良 MacNab 标准。 结果 患者 VAS 评分术前为 7.02±0.64， 术后 1 周， 1、3、6、12 个月时分别为 3.13±0.32、2.11±0.67、2.62±0.89、2.37±0.34、2.31±0.50， 术后均较术前降低（P < 0.05）。 患者术前SF-36 评分为 48.32±7.46， 术后 6 个月（82.03±5.89）较术前增加（P < 0.05）。 术后 6 个月改良 MacNab 标准评定结果显示患者优良率为 89.17%。 结论 射频热凝术联合臭氧治疗椎间盘源性腰痛是一种有效、可靠的方法。

关键词: 椎间盘移位, 臭氧, 射频热凝术, 臭氧注射术, 腰椎间盘突出症

Abstract: Objective To investigate the clinical efficacy of radiofrequency surgical therapy combined with ozone for patients with discogenic low back pain. Methods The clinical data were collected in 120 patients treated with radiofrequency and ozone for lumbar disc herniation at Tianjin Hospital from October 2013 to October 2015. Pain visual analogue scale (VAS) was used to patients at preoperative and postoperative 1 week, 1, 3, 6 and 12 months. Health survey (SF-36) score was used at preoperative and postoperative six months. The efficacy was evaluated by MacNab curative effect evaluation. Re⁃ults The preoperative VAS score was (7.02±0.64) points. The postoperative VAS scores were (3.13±0.32) points, (2.11 ± 0.67) points， (2.62±0.89) points， (2.37±0.34) points and (2.31±0.50) points at one week, one month, three months, six months and twelve months, respectively. The VAS scores were significantly decreased after surgery (P < 0.05). Preoperative SF-36 score was (48.32 ± 7.46) points, which reached to the (82.03 ± 5.89) points six months after surgery (P < 0.05). After six months, the fineness rate reached to 89.17% evaluated by MacNab curative effect evaluation. Conclusion Radiofrequency combined with ozone treatment is an effective and reliable method for discogenic low back pain.

Key words: intervertebral disk displacement, ozone, radio frequency surgery, three oxygen injection, lumbar disc herniation