臭氧在椎间盘突出外科手术后复发的临床应用.pdfVIP

塞旦 堂 声2007年12月第23卷第12期 J Pract Radiol，Dec．2007，Vo1．23，No．12 ．1677． 臭氧在椎间盘突出外科手术后 复发的临床应用 王长水，王树堂，王京学 (山东省淄博市第七人民医院影像科．山东 淄博 255040) 摘要：目的 探讨臭氧在治疗腰椎间盘突出外科手术后复发的疗效。方法 在CT引导下，向37例经外科手术后复发的37个 椎间盘内注射臭氧。30例穿刺针从腰椎侧后方人路，7例从后方人路。结果 穿刺成功率为100％，治疗后3个月～1年随访，在 临床疗效方面，优9例，良22例，差6例。结论 对于经外科手术后，腰椎间盘突出症状复发者，臭氧治疗是一种安全、有效的方 法。 关键词：脊柱；臭氧；腰椎间盘突出；体层摄影术，X线计算机 中图分类号：R681．5 3；R814．42 文献标识码：A 文章编号：1002—1671(2007)12—1677—03 Clinical Application of Ozone in Treating the Recurrent Herniated Lumbar Disc after Surgery WANG Chang—shui，WANG Shu—tang，WANG Jing—xue (Department of Radiology，the 7th People’S Hospital of Zibo，Zibo，Shandong Province 255040，China) Abstract：0bjective To investigate the therapeutic effect of ozone in treating the recurrent herniated lumbar disc after surgery．Meth- ods Thirty--seven lumbar discs in 37 patinets with recurrent lumbar disc herniation after surgery were injected with ozone under CT—— guided．The operative approaches were via lateroposterior position of lumbar vertebrae in 30 and via posterior position in 7 cases．Results The process of injection was done successfully in all patients．Followed—up for three months to one year after the treatment。the cases of clini— cal therapeutic efficacy of excellent results were 9，the cases of good results were 22。no changes in 6 cases．Conclusion Ozone in treatment of recurrent herniated lumbar disc after surgery is a safe and effective method． Key words：spine；ozone；herniated lumbar disc；tomography。X—ray computed 我院自2005—03—2006—05，在 CT引导下椎间 疗间隔时间1～3个月不等。 盘内注射臭氧，治疗腰椎间盘突出外科手术后复发者 1．2 技术方法 术前常规心电图、凝血4项等检查， 37例，取得了较好疗效，现报道如下。 术前谈话消除患者心理负担。嘱患者俯卧CT扫描床 并进行扫描，于病变椎间盘水平选择穿刺点和进针途 1 材料与方法 径