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《Journal of Clinical Radiololgy》 2004-10
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Treatment of Lumbar Disc Herniation with Medical Ozone: Management of Postoperative Symptom Setback

YU Zhijian *, HE Xiaofeng, YANG Bo, et al. *Department of Radiology, Zhujiang Hospital, No.1 Military Medical University, Guangzhou, Guangdong Province 510282, P. R. China  
Objective To discuss the reasons and managements of the “setback” of the symptoms and signs in lumbar disc herniation patients after the treatment with medical ozone.Materials and Methods The clinical follow-up data in 101 patients who had received injection of medical ozone into the discs for the treatment of lumbar disc herniation were retrospectively evaluated and analyzed. Results Of 101 patients, obvious “setback” occurred in 23. The symptom usually reoccurred in 1~2 weeks after the surgery. Twelve patients could stand the “setback” signs and symptoms, needed not any treatment, and were recovered within 15~30 days. Eleven patients could not stand the “setback” signs and symptoms, of which conservative measures were given to 8 patients with an alleviation in 4~5 days and additional annulus “fenestration” had to be done in the other three patients.Conclusions The “setback” symptoms and signs are closely related to the transient elevation of the pressure in the treated discs. Medical management is not necessary in some patients. For the patients who present severe “setback” symptoms and signs, conservative, or even annulus “fenestration” surgery, may be needed. Besides, psychological care should be considered.
【CateGory Index】: R681.53
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