Minimally invasive nucleoplasty combined with Oxygen-Ozone therapy for the treatment of lumbar disc herniation
- VernacularTitle:微创髓核成形术叠加氧-臭氧混合物治疗腰椎间盘突出症
- Author:
Anli YANG
;
Huaming XUE
;
Feng CAI
;
Liang LIU
- Publication Type:Journal Article
- Keywords:
minimal invasion;
lumbar disc herniation(LDH);
nueleoplasty;
oxygen-ozone
- From:
Orthopedic Journal of China
2008;16(23):1818-1821
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the mechanism of nucleoplasty combined with oxygen-ozone for the treatment of lumbar disc herniation,and to evaluate its therapeutic effects.[Method]From June 2005 to June 2006,62 patients with lumbar disc herniation were treated by nueleoplasty combined with oxygen-ozone,34 were male and 28 were female,ranging in age from 32 to 76 years,with an average of 53.4 years.The course of this disease ranged from 3 to 56 months,meanly 1.3 years.Thirteen patients had the herniation at L4.5 and L3,4,thirty two patients at L4、5,eight patients at L4、5 and L5S1,and nine patients at L5S1.The curative effect was assessed by using a modified MacNab method.[Result]After 25~35 months'follow-up,there were no servious complications in all 62 cases.According to modified MacNab assessment,50 cases(80.7%)achieved excellent outcomes,8 cases(12.9%)good,2 cases(3.2%)fair and 2 cases(3.2%)poor.The excellent and good rate was 93.5%.[Conclusion]The micro-invasive technique of nueleoplasty combined with oxygen-ozone is effective in the treatment of lumbar disc herniation,and it has maximized the clinical effect and minimized the local damage:it also expanded adaptive cases with lumbar disc herniation and enlarged the applicable scope of minimally invasive technique in treating lumbar disc hemiation.