Lu Wei, Li Yan-Hao, He Xiao-Feng
Wei Lu, Yan-Hao Li, Xiao-Feng He, Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
World J Radiol. 2010 Mar 28;2(3):109-12. doi: 10.4329/wjr.v2.i3.109.
To evaluate the effects of percutaneous ozone injection via the posterior-lateral route and inner margin of the facet joint in the treatment of large lumbar disc herniation.
Fifty-eight patients with large lumbar disc herniation were treated with percutaneous injection of ozone via the posterior-lateral route and inner margin of the facet joint under digital subtraction angiography. Second injections were performed 5 d after the initial injection. All patients were followed up for 6-18 mo. A modified Macnab method was used for assessing clinical outcomes after oxygen-ozone therapy.
Successful puncture was obtained in all patients. The overall efficacy was 91.4%; the outcome was the excellent in 37 cases (63.8%), good in 16 cases (27.6%) and fair/poor in 5 cases (8.6%) according to the Macnab criteria. No severe complications were found throughout this study.
Percutaneous intradiscal ozone injection via the posterior-lateral route and inner margin of the facet joint is effective and safe for treatment of large lumbar disc herniation.
评估经后外侧入路及小关节内缘穿刺注射臭氧治疗大型腰椎间盘突出症的疗效。
58例大型腰椎间盘突出症患者在数字减影血管造影引导下，经后外侧入路及小关节内缘穿刺注射臭氧。首次注射5天后进行第二次注射。所有患者随访6 - 18个月。采用改良Macnab法评估臭氧治疗后的临床疗效。
所有患者穿刺均成功。总有效率为91.4%；根据Macnab标准，结果为优37例（63.8%），良16例（27.6%），可/差5例（8.6%）。整个研究过程中未发现严重并发症。
经后外侧入路及小关节内缘穿刺椎间盘内注射臭氧治疗大型腰椎间盘突出症有效且安全。
