DSA引导下经皮穿刺髓核钳夹减压术联合臭氧治疗颈椎间盘突出症的疗效观察

摘要

目的：观察颈椎间盘突出症于DSA引导下经皮穿刺髓核钳夹减压术联合臭氧治疗后的疗效。方法选取我院2012年5月～2015年6月间186例颈椎间盘突出症患者，所有患者均于DSA引导下经皮穿刺髓核钳夹减压术联合臭氧治疗，观察其治疗效果。结果186例患者治愈146例（78.5％），好转37例（19.8％），疗效不佳3例（1.6％），总有效率为98.4％。与治疗前比较，治疗后24 h、1周、l个月、3个月、6个月视觉模拟评分（VAS）降低，差异有统计学意义（P＜0.05）。结论 DSA引导下经皮穿刺髓核钳夹联合臭气治疗颈椎间突出症创伤小、有效、安全，值得临床推广。%Objective To observe the effect of percutaneous puncture nucleus pulposus forceps holder decompression combined ozone under DSA guide in the treatment of cervical disc herniation.Methods To select 186 patients with cervical disc herniation in our hospital from May 2012 to June 2015, to treat with percutaneous puncture nucleus pulposus forceps holder decompression combined ozone under DSA guide in all patients, to observe the treatment effect.ResultsOf the 186 patients, the total effective rate was 98.4%, with cured 146 cases(78.5%), improvement 37 cases(19.8%), and poor therapeutic effect 3 cases(1.6%). The visual analogue score(VAS) after 24h, 1 week, 1 month, 3 months, 6 months treatment had reduced compared with which before treatment, the differences was statically significant(P<0.05).Conclusion Percutaneous puncture nucleus pulposus forceps holder decompression combined ozone under DSA guide in the treatment of cervical disc herniation has less trauma, is effective and safe, is worthy of clinical popularization.