摘要
目的探讨治疗极外侧型腰椎间盘突出症的治疗方法及疗效。方法在C型臂监视下,对30例极外侧型腰椎间盘突出症患者进行了盘内臭氧联合患侧椎间孔处注射胶原酶治疗方法。结果术后电话随访6～12个月,按改良Macnab评判标准,优:20例,术后疼痛消失,直腿抬高试验>70,活动无限制,良:6例,偶有非神经根性疼痛,术前体征明显改善,可从事轻体力劳动,不需服用镇痛药。可:3例,症状和体征有些改善,但仍疼痛,直腿抬高试验较前增高,但<70°,常有疼痛,活动受一定限制,偶有服用镇痛药。差:1例,仍有神经根性疼痛,症状和体征无改善。治疗优良率87%,有效率96.6%。结论在X线监视下,对极外侧突出椎间盘内、椎小关节旁注射臭氧联合患侧椎间孔处注射胶原酶,可有效解除髓核组织对神经根的压迫,位置准确,疗效可靠,是治疗极外侧型腰椎间盘突出症的良好方法。
Objective To investigate the treatment efficacy of ozone combined with injection of collagenase in extreme lateral lumbar disc herniation. Methods With the C-arm monitoring,30 cases of extreme lateral lumbar disc herniation received ozone combined with ipsilateral foraminal collagenase injection. Results The postoperative telephone follow-up for 6～12 months,20 cases were excellent in the modified Macnab criteria,6 cases were good,3 cases were so-so and 1 case was poor. The improved rate was 87%,efficiency 96.6%. Conclusion Ipsilateral foraminal injection of ozone and collagenase under X-ray monitoring to treat a very prominent lateral disc can effectively lift the nucleus pulposus on nerve root compression with accurate location.
出处
《当代医学》
2010年第11期198-199,共2页
Contemporary Medicine
关键词
臭氧
胶原酶
极外侧型腰椎间盘突出
Ozone
collagenase
extreme lateral lumbar disc herniation
