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《The Journal of Traditional Chinese Orthopedics and Traumatology》 2015-01
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Clinical study on ozone ablation for treatment of different types of lumbar disk herniation

DOU Zhigang;LI Zhiqiang;Luohe Hospital of Traditional Chinese Medicine;Luoyang Orthopedic-Traumatological Hospital;  
Objective: To compare the clinical effects of ozone ablation in the treatment of four types of lumbar disk herniation( LDH).Methods: The medical records of 138 patients with single segment LDH who were treated with ozone ablation were analyzed retrospectively.The LDH belonged to central type( 53),lateral central type( 36),lateral recess type( 31) and lateral type( 18). Lumbocrural pain were observed and compared between the 2 groups before the treatment and after the treatment and at last follow-up respectively by using the visual analogue scale( VAS). The curative effects were evaluatd according to Macnab lumbocrural pain efficacy criteria and were compared between the 2 groups after the end of the treatment and at last follow-up. Results: Three patients,belonged to central type( 1) and lateral recess type( 2),received operation at 2 weeks after the treatment because of poor curative effect; while all of the others were followed up for 3- 6months with a median of 5 months. There was no statistical difference in VAS scores between the 4 groups before the treatment( 5. 06 + /-1. 22,4. 97 + /- 1. 18,5. 00 + /- 1. 13,5. 06 + /- 1. 00 points,F = 0. 046,P = 0. 987). There was statistical difference in VAS scores between the 4 groups after the end of the treatment and at last follow-up( 1. 38 + /- 0. 97,1. 53 + /- 1. 08,2. 48 + /- 1. 26,1. 56 + /- 0. 92 points,F =7. 657,P = 0. 000; 1. 21 + /- 0. 91,1. 47 + /- 1. 00,2. 35 + /- 1. 31,1. 44 + /- 0. 86 points,F = 8. 439,P = 0. 000). The VAS scores of central type,lateral central type and lateral type were higher than that of the lateral recess type( P = 0. 000,P = 0. 000; P = 0. 001,P = 0. 003;P = 0. 009,P = 0. 011). There was no statistical difference between the rest paired groups. The central type,lateral central type and lateral type surpassed the lateral recess type in the total curative effect after the end of the treatment and at last follow-up( Rcentral type= 59. 40,Rlateral central type= 67. 22,Rlateral type= 66. 44,Rlateral recess type= 91. 19,χ2= 14. 017,P = 0. 003; Rcentral type= 61. 93,Rlateral central type= 64. 73,Rlateral type= 64. 39,Rlateral recess type= 85. 28,χ2= 9. 603,P = 0. 035). Conclusion: Ozone ablation can rapidly relieve lumbocrural pain of the patients with LDH and it has significant curative effect on LDH except for lateral recess type,which would be treated in combination with other interventional therapies.
【CateGory Index】: R687.3
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