[摘要] 目的 观察针刀联合臭氧治疗腰椎间盘突出症的疗效。方法 30例病人采用C型臂引导下经小关节内侧缘穿刺盘内及椎间孔注射臭氧,针刀松解肌肉及外周神经卡压,通过半年的随访,用改良的Macnab疗效评定标准评定其疗效。结果 治愈24例,有效6例。结论 臭氧能使髓核失水,突出物减压缩小,消除神经根无菌性炎症;针刀能松解神经卡压,调整肌肉筋膜顺应性。针刀加臭氧是腰椎间盘突出症保守治疗的首选方法。

    [关键词] 腰椎间盘突出症; 针刀; 臭氧

    [中图分类号] R681.5 [文献标识码] A [文章编号] 1673-9701(2009)23-34-02

    Combination of Ozone Injection and Accunpuncture-knife in the Treatment of Lumbar Intervertebral Disc Herniation

    DING Yuedong1 ZHANG Hongjin1 HU Shuiqing2 XU Min3

    1.Department of Anesthesiology,Lianyungang Second People’s Hospital,Jiangsu 222023,China;2.Department of General Surgery,Tengnan Hospital of Zaozhuang Mining Group,Zaozhuang,Shandong 277606,China;3.Department of Hematology,Lianyungang Second People’s Hospital,Lianyungang,Jiangsu 222023,China ......