CT引导下注射臭氧治疗椎间盘源性腰痛的临床研究

山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (12): 108-112.

CT引导下注射臭氧治疗椎间盘源性腰痛的临床研究

马景和1，马晓春1，王涛1，郎明磊1，王伟国2，许道洲3，隆海滨1

山东胜利油田中心医院 1.骨科； 2.影像中心CT； 3.影像中心MRI, 山东东营 257034

收稿日期:2010-05-27 发布日期:2010-12-16
作者简介:马景和（1950- ），男，教授，主任医师，主要从事脊柱外科的研究。 E-mail：majinghes＠163.com

Clinical study of treatment discogenic low back pain with CT guided ozone injection

MA Jing-he1， MA Xiao-chun1， WANG Tao1， LANG Ming-lei1， WANG Wei-guo2， XU Dao-zhou3， LONG Hai-bin1

1. Department of Orthopedics; 2. Imaging center of CT; 3. Imaging center of MRI,
Central Hospital of Shengli Oilfield, Dongying 257034, Shandong, China

Received:2010-05-27 Published:2010-12-16

摘要/Abstract

摘要：

目的探讨椎间盘内注射臭氧对椎间盘源性腰痛的疗效。方法 2005年5月至2009年7月，72例椎间盘源性腰痛患者行CT引导下椎间盘内注射臭氧治疗，质量浓度为30～40μg/mL, 剂量为5～10mL,疼痛复制反应阳性66例（91.67%）。结果随访7～54个月，平均20个月，腰痛及下肢痛症状明显缓解，均恢复正常生活。VAS评分较术前下降50.36±2.32（P＜0.01）, ODI评分下降42.23±5.38（P＜0.01）。优良率90.28%（65/72），有效率100% 。所有患者均未发生椎间隙感染、神经根损伤、臭氧气栓等并发症。结论 CT引导下椎间盘内注射臭氧治疗椎间盘源性腰痛是一种安全有效的方法。注射臭氧的CT表现近似椎间盘造影。

关键词: 椎间盘源性腰痛；臭氧；CT引导；疗效

Abstract:

Objective To explore the effectiveness of the intervertebral disc ozone therapy for discogenic low back pain. Methods From May 2005 to July 2009, 72 patients with discogenic low back pain were treated with CT-guided intervertebral disc ozone injection, of which the concentration and dosage were 30-40 ug/ml and 5-10mL, respectively. 66 cases (91.67%) showed positive pain reproduction. Results All cases were followed up for an average period of 20 months (range from 7 to 54 months). All patients recovered well and returned to their normal lives. Compared with pre-operative period, the average decrease of VAS scoring and ODI scoring were 50.36 ± 2.32（P＜0.01）and 42.23±5.38(P＜0.01）, respectively. Success rate was 90.28%（65/72）and the effective rate was 100%. There were no infection, nerve root injury, or ozone embolism. Conclusion Treatment of discogenic low back pain with CT-guided ozone injection is a safe and effective apporach. CT manifestation of ozone injection is similar to Discography.

Key words: Discogenic low back pain； Ozone； CT guided； Curative effect

中图分类号:

R681.5

马景和1，马晓春1，王涛1，郎明磊1，王伟国2，许道洲3，隆海滨1. CT引导下注射臭氧治疗椎间盘源性腰痛的临床研究[J]. 山东大学学报(医学版), 2010, 48(12): 108-112.

MA Jing-he1，MA Xiao-chun1，WANG Tao1，LANG Ming-lei1， WANG Wei-guo2，XU Dao-zhou3，LONG Hai-bin1 . Clinical study of treatment discogenic low back pain with CT guided ozone injection[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(12): 108-112.

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