Percutaneous lumbar discectomy combined with medical ozone in the treatment of lumbar disc herniation
10.3760/cma.j.issn.1671-8925.2010.09.023
- VernacularTitle:经皮髓核钳夹术联合臭氧治疗腰椎间盘突出症的应用研究
- Author:
Zhi-Kang PENG
1
;
Ya-Hong LIU
;
Wei-Fang LU
;
Zhi-Jian YU
Author Information
1. 南方医科大学珠江医院
- Keywords:
Lumbar disc herniation;
Medical ozone;
Percutaneous lumbar discectomy;
Interventional radiology
- From:
Chinese Journal of Neuromedicine
2010;09(9):955-958
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the distribution of O2-O3 mixture in the disc and the shrinkage of herniation after the application of percutaneous lumbar discectomy (PLD) combined with medical ozone (O3) in patients with lumbar disc herniation, and analyze the clinical effect of PLD combined with O3 and the complications of lumbar disc hemiation. Methods One hundred and twenty patients with lumbar disc herniation proved by imaging (CT or MRI) and physical examinations were divided randomly into 3 groups (n=40): PLD-treated group, O3-treated group and PLD combined with O3 treatment group.They were treated as planning and their clinical effects were observed. Results PLD combined with O3 treatment group showed a significantly lower incidence of lumbago and obviously better distribution of O3 in or outside the discs as compared with the other 2 groups. The shrinkage rate of herniation was not statistically different among the 3 groups. The effective rate in the PLD combined with O3 treatment group was 86% (34/40); that in the PLD-treated group was 83% (33/40); that in the O3-treated group was 35% (14/40). After 6-18 months follow-up, the total effective rate was as following: 87.5% (35/40) in the PLD-treated group, 77.5% (31/40) in the O3-treated group and 92.5% (37/40) in the PLD combined with O3 treatment group. No complications were found in all the 3 groups. Conclusion PLD combined with O3 is a safe and effective method in the treatment of lumbar disc herniation with less adverse reaction.
