[1]李中锋 邓强△ 张彦军 杨镇源.经皮激光汽化术加臭氧配合牵引 治疗腰椎间盘突出症[J].中国中医骨伤科杂志,2015,23(02):11-14.
　LI Zhongfeng DENG Qiang ZHANG Yanjun YANG Zhenyuan.Efficacy of Percutaneous Laser Disc Decompression plus Ozone Combined with Traction for Treating Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2015,23(02):11-14.
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经皮激光汽化术加臭氧配合牵引 治疗腰椎间盘突出症
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第23卷
期数:
2015年02期
页码:
11-14
栏目:
临床研究
出版日期:
2015-02-15

文章信息/Info

Title:
Efficacy of Percutaneous Laser Disc Decompression plus Ozone Combined with Traction for Treating Lumbar Disc Herniation
文章编号:
1005-0205(2015)02-0011-04
作者:
李中锋1 邓强1△ 张彦军1 杨镇源1
1甘肃省中医院(兰州,730050)
△通讯作者 E-mail:lizhongfengyx@163.com
Author(s):
LI Zhongfeng1 DENG Qiang1 ZHANG Yanjun1 YANG Zhenyuan1
1Ganshu Hospital of Traditional Chinese Medicine, Lanzhou 730050, China
关键词:
经皮激光汽化椎间盘减压术;  臭氧;  牵引;  腰椎间盘突出症
Keywords:
Percutaneous laser disc decompression;  Ozone;  Traction;  Lumbar disc herniation
分类号:
R681.5+3
文献标志码:
A
摘要:
目的:探讨经皮激光汽化椎间盘减压术(PLDD)加臭氧(O3)配合术前及术后牵引治疗腰椎间盘突出症的临床疗效。方法:将50例确诊为腰椎间盘突出症的患者随机分为两组,对照组采用PLDD治疗,治疗组采用PLDD加O3配合术前及术后牵引治疗,治疗前后采用疼痛视觉类比评分(VAS)、改良(JOA)腰痛疗效问卷评分进行疗效评定,分别于治疗后3 d、3月、6月电话随访两组患者进行疗效评定。结果:1)与治疗前比较,治疗后两组改良JOA问卷记分均显著升高(P<0.05),疼痛视觉类比评分VAS显著降低(P<0.05),与对照组比较,治疗组改良JOA问卷记分显著升高(P<0.05),疼痛视觉类比评分VAS显著降低(P<0.05); 2)治疗结束后6个月随访:治疗组有1例复发,治愈12例,显效10例,有效1例,无效1例,有效率为92%; 对照组有2例复发,治愈8例,显效10例,有效2例,无效3例,有效率为80%.结论:PLDD加O3配合术前及术后牵引治疗腰椎间盘突出症疗效显著,复发率低,安全性高,值得临床推广。
Abstract:
Objective: To observe the clinical effect of percutaneous laser disc decompression(PLDD)plus ozone combined with traction for treating lumbar disc herniation(LDH). Methods: All 50 patients with LDH were randomly divided into control group(treated with PLDD)and treatment group(treated with PLDD plus ozone combined with traction before and after surgery). The visual analog scale(VAS)and modified JOA questionnaire score were used to evaluate the efficacy at 3 days, 3 months, and 6 months after treatment by telephone in two groups. Results: 1)The JOA questionnaire score were increased significantly in both two groups after treatment(P<0.05), and the VAS score were decreased significantly in both two groups after treatment(P<0.05). The JOA questionnaire score in the treatment group were higher than the control group(P<0.05), and the VAS score were lower than the control group(P<0.05).2)There were 1 case in recurrence, 12 cases in cured, 10 cases in markedly effective, 1 case in effective, and 1 case in invalid, the effective rate was 92% in the treatment group 6 months after treatment. However, there were 2 case in recurrence, 8 cases in cured, 10 cases in markedly effective, 2 case in effective, and 3 case in invalid, the effective rate was 80% in the control group. Conclusion: PLDD plus ozone combined with traction before and after surgery is effective for treating LDH, with advantages of low rate of recurrence, high security, so it is worth to wide application in the clinical.

参考文献/References:

[1] 林涛,郑梓灌,张慧铭,等. 半导体激光联合电动牵引治疗盘源性下腰痛58例[J]. 中国中医骨伤科杂志,2013,21(6):32-34.
[2] 侯岩柯,杨华,张敏,等. 多点法激光气化椎间盘减压术联合臭氧注射治疗腰椎间盘突出症[J]. 中国疼痛医学杂志,2014,20(4):277-281.
[3] 胡健. 针刺配合牵引治疗腰椎间盘突出症130例[J]. 中国中医骨伤科杂志,2010,18(7):44-45.
[4] 任晓刚,王涛. 牵引与推拿治疗腰椎间盘突出症186例[J]. 中国中医骨伤科杂志,2009,17(11):61-62.
[5] 胡章勇,彭小波,李翔,等. 三维多功能床治疗腰椎间盘突出症120例临床效果观察[J].重庆医学,2007,36(22):2329-2330.
[6] 郑绪国. 牵引结合手法治疗腰椎间盘突出症60例临床观察[J]. 中国医药导报,2009,6(8):153.
[7] 苏寅,李荣,邢海清,等. 经皮激光分区减压术治疗腰椎间盘突出症的疗效分析[J]. 中国中医骨伤科杂志,2013,21(10):31-33.
[8] 邱永湘,张生权,李树强. 臭氧消融术配合三步点扳手法治疗腰椎间盘突出症临床观察[J]. 中国中医骨伤科杂志,2011,19(5):53-54.
[9] 孙欢,王波,李华杰等. 靶点射频消融联合臭氧盘内注射在腰椎间盘突出症中的应用[J]. 中国中医骨伤科杂志,2012,20(4):50-51.
[10] 赵继荣,陈文,王兴盛,等. 激光气化减压术加臭氧联合脊柱调衡手法治疗腰椎间盘突出症的疗效分析[J]. 中国激光医学杂志,2014,23(1):11-14.
[11] 彭涛,姚新苗,吕一,等. 臭氧消融联合射频热凝治疗腰椎间盘突出症临床研究[J]. 中医正骨,2013,25(11):13-15.
[12] 王德全,陈玉明,谢仁古丽,等. 不同容量的臭氧对腰椎间盘突出症患者CT 表现的影响[J]. 中国疼痛医学杂志,2012, 18(6):505-506.
[13] 谢起文,张国忠,唐可. 椎间盘内联合椎旁注射臭氧治疗腰椎间盘突出症122例[J]. 中国中医骨伤科杂志,2012,20(6):42-43.
[14] 刘俊中,王天玉. 78例腰椎间盘突出症注入臭氧治疗的疗效观察[J]. 中国医学工程,2014,22(4):47-50.
[15] 彭涛,姚新苗,吕一,等. 臭氧消融联合射频热凝治疗腰椎间盘突出症临床研究[J]. 中医正骨,2013,25(11):13-15.

备注/Memo

备注/Memo:
收稿日期:2014-06-04
更新日期/Last Update: 2015-02-28