Comparison of clinical efficacy of percutaneous ozone injection of intervertebral disc nucleus pulposus ablation and percutaneous radiofrequency ablation in the treatment of lumbar disc herniation
10.3760/cma.j.issn.1008-6706.2018.02.023
- VernacularTitle:经皮穿刺臭氧注射椎间盘髓核消融术与经皮椎间盘内射频消融术治疗腰椎间盘突出症的临床疗效比较
- Author:
Chenghong JIA
1
Author Information
1. 晋城市晋城大医院疼痛科
- Keywords:
Intervertebral disk;
Ozone;
Comparative effectiveness research
- From:
Chinese Journal of Primary Medicine and Pharmacy
2018;25(2):220-224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical effect of percutaneous lumbar disc nucleus pulposus ablation and percutaneous radiofrequency ablation in the treatment of lumbar disc herniation .Methods 86 patients with lumbar disc herniation were selected as the research subjects .According to the difference of treatment ,the patients were randomly divided into two groups:ozone injection group ( 43 cases ) , radiofrequency ablation group ( 43 cases ) .The clinical efficacy,operation time,length of stay,complications,and low back pain score of Japanese Orthopaedic Association(JOA) were observed and compared between the two groups .Results The excellent rate of the ozone injection group was 81.4％,which of the radiofrequency ablation group was 83.7％(χ2 =0.055,P>0.05).The operation time and hospitalization time of the ozone injection group were (54.82 ±8.16) min,(7.86 ±1.57) days, respectively,which were shorter than those of the ablation group [(87.35 ±6.64) min,(11.51 ±1.29) days,t =20.277,11.779,all P<0.01].There were no complications occurred in two groups .Before operation and 1 week after operation,the JOA score between the two groups had no statistically significant difference (P>0.05).After 1 month and 3 months,the JOA scores of radiofrequency ablation group were (22.83 ±1.81) points,(24.93 ± 1.77)points,which were higher than those of the ozone injection group [(19.09 ±2.27) points,(22.31 ± 1.98)points,t=8.447,6.469,all P<0.01].Conclusion The two kinds of minimally invasive surgical treatment for lumbar disc herniation can achieve certain effect ,as to improve low back pain symptoms ,the intradiscal radiofre-quency ablation is superior to percutaneous injection of ozone nucleus pulposus ablation ,but the operation time and hospitalization time are longer than ozone injection ,so the clinical treatment options need to be considered .
