射频热凝联合臭氧消融治疗腰椎间盘突出症的临床观察

目的 观察射频热凝术联合臭氧消融术治疗腰椎间盘突出症的临床效果。方法 选取2013年3月到2016年3月珠江医院康复科收治的腰椎间盘突出症患者220例为研究对象,随机分为A组和B组,各110例,A组采用射频热凝术治疗,B组采用射频热凝术联合臭氧消融术治疗,采用VAS、Mac Nab标准评价治疗效果。结果 A组和B组术后1 d、术后一周、术后两周VAS评分均较术前明显下降(P0.05);B组术后1 d的VAS评分与A组比较均没有统计学意义(P0.05)。B组术后一周、术后两周的VAS评分均比A组明显降低(P0.05)。A组和B组术后两周Mac Nab有效率均较术后1 d明显提高(P0.05)。B组术后1 d的Mac Nab有效率与A组比较没有统计学意义(P0.05)。B组术后两周的Mac Nab有效率与A组比较有统计学意义(P0.05)。结论 射频热凝术和射频热凝术联合臭氧消融术治疗腰椎间盘突出症都有明显的疗效,射频热凝术联合臭氧消融术治疗腰椎间盘突出症的效果明显比单纯用射频热凝术好。

Clinical Observation of the Effect of Radiofrequency Thermocoagulation Combined with Ozone Ablation in the Treatment of Lumbar Disc Herniation

Objective To investigate the clinical efficacy about the combination of radiofrequency thermocoagulation with ozone ablation in the treatment of lumbar intervertebral disc herniation. Methods 220 cases in department of rehabilitationof Zhujiang Hospital with lumbar intervertebral disc herniation from March 2013 to March 2016 were selected and divided into the Group A and the Group B with 110 cases in each randomly. Both groups were given radiofrequency themocoagulation, in addition, the Group B were given ozone ablation therapy, and used VAS and MacNab criteria to evaluate the therapeutic effect. Results The VAS scores of Group A and Group B of the postoperative 1 day, 1 week, 2 weeks were significantly lower than the preoperative VAS score(P<0. 05). There were no significant differences of the change of VAS scores between Group A and Group B after the treatment of the first day(P>0. 05). The VAS scores of Group B after the treatment of 1 week, 2 weekswere significantly lower than Group A ( P<0. 05 ) . The MacNab effective rate of Group A and Group B of the postoperative two weeks were significantly higher than the postoperative 1 day ( P<0. 05 ) . There were no significant differences of the change about MacNab effective rate between Group A and Group B after the treatment of the first day( P>0. 05). There were significant differences of the change of MacNab effective rate between Group A and Group B afterthe treatment of the two weeks ( P<0. 05 ) . Conclusion Although both of radiofrequency thermocoagulation and radiofrequency thermocoagulation combined with ozone ablation are effective to the treatment of lumbar disc herniation, radiofrequency thermocoagulation combined with ozone ablation is better than radiofrequency thermocoagulation.