激光加臭氧联合治疗椎间盘源性下腰痛初步研究
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作者Author单位AddressE-Mail
赵波 ZHAO Bo 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China zhaobo1978@163.com 
邵高海 SHAO Gao-hai 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China  
余雨 YU Yu 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China  
周永发 ZHOU Yong-fa 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China  
钟斌 ZHONG Bin 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China  
何超 HE Chao 重庆市第二人民医院骨二科,重庆 402160 Department of Orthopaedics Surgery,the Second Peoples Hospital of Chongqing,Chongqing 402160,China  
期刊信息:《中国骨伤》2008年,第21卷,第5期,第391-392页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:评价联合应用经皮穿刺激光加臭氧对椎间盘源性下腰痛的治疗效果。

方法:椎间盘源性下腰痛患者48例,男32例,女16例;年龄21~66岁,平均43.5岁;病程6个月以上。所有病例均在X线电视导向下联合应用经皮穿刺激光髓核消融加臭氧治疗。

结果:术后随访无严重并发症发生。根据Macnab腰腿痛手术评价标准,术后1周时优8例,良28例,可8例,差4例,优良率75%;3个月时优17例,良23例,可6例,差2例,优良率83.3%;6个月时优20例,良22例,可4例,差2例,优良率87.5%;12个月时优21例,良22例,可4例,差1例,优良率89.6%.

结论:联合应用经皮穿刺激光加臭氧治疗椎间盘源性下腰痛的疗效确切。
【关键词】腰椎  椎间盘移位  下腰痛  激光手术  臭氧
 
Preliminary report for treatment of discogenic low back pain with combined percutaneous laser and O2-O3 mixture
ABSTRACT  

Objective: To evaluate the efficacy of percutaneous laser and O2-O3 mixture in treating chronic discogenic low back pain.

Methods: There were 48 patients included 32 male and 16 female with the mean age of 43.5 years(range,from 21 to 66 years). The duration of symptoms was more than 6 months,all patients were treated with percutaneous laser and O2-O3 mixture under TV monitoring.

Results: Forty-eight patients followed-up showed no severe complications. At 1 week follow up,8 cases were evaluated as excellent,28 as good,8 as fair and 4 as poor by Macnab standard. The excellent and good rate reached 75%. At 3 months follow up,17 cases were evaluated as excellent,23 as good,6 as fair and 2 as poor with the excellent and good rate of 83.3%. At 6 months follow up,20 cases were evaluated as excellent,22 as good,4 as fair and 2 as poor with a total effective rate of 87.5%. At 12 months follow up,21 cases were evaluated as excellent,22 as good,4 as fair and 1 as poor with a total effective rate of 89.6%.

Conclusion: Combined percutaneous laser and O2-O3 mixture is an effective and safe method in treating discogenic low back pain.
KEY WORDS  Lumbar vertebrae  Intervertebral disc displacement  Low back pain  Laser surgery  Ozone
 
引用本文,请按以下格式著录参考文献:
中文格式:赵波,邵高海,余雨,周永发,钟斌,何超.激光加臭氧联合治疗椎间盘源性下腰痛初步研究[J].中国骨伤,2008,21(5):391~392
英文格式:ZHAO Bo,SHAO Gao-hai,YU Yu,ZHOU Yong-fa,ZHONG Bin,HE Chao.Preliminary report for treatment of discogenic low back pain with combined percutaneous laser and O2-O3 mixture[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(5):391~392
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