[1]张莉,李家开,陈照徽,等.CT引导下臭氧髓核消融联合糖皮质激素椎小关节注射治疗腰椎间盘突出症并椎小关节病变[J].介入放射学杂志,2009,(11):853.
　ZHANG Li,LI Jiakai,CHEN Zhaohui,et al.CT－guided intradiscal ozone injection combined with intervertebral facet joint steroid injection for lumbar disk herniation accompanied with intervertebral arthritis[J].journal interventional radiology,2009,(11):853.
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CT引导下臭氧髓核消融联合糖皮质激素椎小关节注射治疗腰椎间盘突出症并椎小关节病变()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2009年11期
页码:
853
栏目:
非血管介入
出版日期:
2009-11-15

文章信息/Info

Title:
CT－guided intradiscal ozone injection combined with intervertebral facet joint steroid injection for lumbar disk herniation accompanied with intervertebral arthritis
作者:
张莉; 李家开; 陈照徽; 等
７３００４６兰州市第二人民医院影像科（张莉、陈照徽、孙西俊、刘建平）；中国人民解放军总医院放射科（李家开）
Author(s):
ZHANG Li ; LI Jia－kai; CHEN Zhao－hui ; SUN Xi－jun; LIU Jian－ping．
Department of Radiology，the Second People’s Hospital of Lanzhou City，Lanzhou７３００４６，China
关键词:
腰椎间盘突出; 椎小关节炎; CT引导; 臭氧
分类号:
R６８１.５３
文献标志码:
A
摘要:
目的臭氧（O ３ ）髓核消融术联合椎小关节局部复方倍他米松注射治疗腰椎间盘突出症并椎小关节炎患者的疗效观察。方法８０例腰椎间盘突出并椎小关节炎患者随机分为两组，在CT引导下，Ⅰ组（n＝４０）单纯椎间盘穿刺臭氧消融术，注射５０μg ／ml O ３ １０～２０ml ，Ⅱ组（n＝４０）行椎间盘穿刺臭氧消融的同时在双侧或单侧椎小关节注射复方倍他米松注射液０．５～１ml ，两组患者分别在术前与术后１周，３、６个月采用双盲法Oswestry Low Back Pain Disability量表评估疗效。结果术后第１周Ⅰ组和Ⅱ组有效率分别为６５％和８２．５％；３个月有效率分别为７５％和９０％；６个月时分别为７０％和９２．５％。Ⅱ组较Ⅰ组病例在１周、３、６个月疗效均显著增高（P＜０．０５）。结论椎间盘臭氧消融联合椎小关节药物局部注射是治疗椎间盘突出并椎小关节炎的一种有效、安全的方法，值得推广应用。

参考文献/References:

［１］Muto M，Andreula C，Leonardi M．Treatment of herniated lumbar disc by intradiscal and intraforaminal oxygen－ozone（O ２ －O ３ ）injection［J］．J Neuroradiol，２００４，３１：１８３－１８９．
［２］Andreula CF，Simonetti L，De Santis F，et al．Minimally invas

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备注/Memo

备注/Memo:
收稿日期：２００９－０４－２７
更新日期/Last Update: 2009-11-15