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《ct引导下经皮激光气化减压术联合臭氧盘外靶点注射治疗巨大型腰椎间盘突出症的临床疗效分析》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。
1、CT引导下经皮激光气化减压术联合臭氧盘外靶点注射治疗巨大型腰椎间盘突出症的临床疗效分析?202?中国疼痛医学杂志ChineseJournalofPainMedicine2007.13.(4CT引导下经皮激光气化减压术联合臭氧盘外靶点注射治疗巨大型腰椎问盘突出症的临床疗效分析王文刘建英张在恒于鹏冯传有杨福生单素英(北京市中关村医院脊柱微创介入中心,北京100080)摘要目的:分析应用经皮激光气化减压术联合臭氧盘外靶点注射治疗腰椎间盘突出症的疗效.方法:回顾性分析2005年6月至2006年12月间因腰椎间盘突出症住院采用激
2、光气化联合臭氧盘外靶点注射治疗病人233例,椎间盘内应用激光气化减压,设定激光总能量为1500J,椎间盘外应用靶点突出物臭氧注射,注入40g/ml臭氧10ml.结果:所有病例随访3—18月,平均11.62±2.67月,手术临床效果经自身配对t检验有显着性差异(t=一19.28,P<0.05),手术临床效果优良率是93.56%.结论:激光气化联合臭氧盘外靶点注射治疗腰椎间盘突出症具有扩大手术适应症,提高手术疗效的优势,是值得推广利用的较好方法.关键词疗效;经皮激光气化术;经皮椎间盘臭氧注射术;腰椎间盘突出症;靶点注
3、射THECLINICALTHERAPEUTICEFFECTANALYSISoFCURGLARGELUⅣ【BARIN.TERVERTEBRALDISCPRoTRUSIONUSINGPLDDANDTARGETPoINTⅡECTIoNoUTSII)EDISCTHAToPERATEDBYCTWANGWen,LIUJian-Ying,ZHANGZai-Heng,YUPeng,FENGChuan-You,YANGFu-Sheng,SHANSu-Ying(Thespinalcolounmmini-traumacurecenterof
4、Pekingzhongguancunhospital,Beijing100080)AbstractObjective:Toanalyzecurativeeffectofpercutaneouslaserdiscdiscompression(PLDD)andtargetpoi'ntinjectionoutsidedisccuringlumbarintervertebraldiscprotrusion.Methods:AretrospectivestudywerecarriedoutfromJune2005toDecemb
5、er2006.and233lumbardischerniationcaseswereop.cratedbyPLDDandtargetpointinjectionouterdisc(233cases),usingPLDDtocutdownthepressureinsidedisc,thetotalenergyoflaserisabout1500J,andusingtargetpointinjectionoutsidedisc,aboutlOmlozoneof40mg/mlisinjected.Theclinicalres
6、ultwereevaluatedafteroperation.Results:Allcasesofclinicalbeenfollowedupfrom3monthsto18months,average(11.624-2.67)months.Allcasesbeensuccessfullyoperated,thefinenessrateis93.56%.Conclusions:PLDDandtargetpointinjectionoutsidedisccuringlumbarintervertebraldiscprotr
7、usionisabetteroperationwaythatcanenlargethein-dicationandimprovetheclinicalcurativeeffect,anditshouldbespreadedinclinic.KeywordsCurativeeffect;Percutaneouslaserdiscdiscompression(PLDD);Percutaneouslumbarin-tervertebraldiscozoneinjection(PLOI);Lumbarintervertebra
8、ldiscprotrusion;Targetpointinjection(TPI)经皮穿刺激光椎间盘减压术(percutaneouslaserdiscdecompression,PLDD)治疗腰椎间盘突出症的设想最初由美国Choy于1984年提出,1986年成功应用于临床.因具有操作简单,安全,并发症少及疗效好等优点而成为一种有发
