目的 评价射频热凝靶点消融术联合臭氧注射治疗神经根型颈椎病的疗效.方法 对35例神经根型颈椎病的患者,在C型臂X线机引导下经皮穿刺椎间盘靶点,先行射频热凝靶点消融术,然后在椎间盘内注射臭氧,术后1周、1个月、1年进行疗效评价.结果 随访时间9～24个月,平均13.2个月.视觉模拟评分术后评分与术前比较有显著性差异(P＜0.01).患者主观满意度优良率94.3％.术后未发生不良反应和其他并发症.结论 射频热凝靶点消融术联合臭氧注射治疗神经根型颈椎病,是一种有效、微创和安全的治疗方法.对于保守治疗无效而又不适于手术治疗的神经根型颈椎病患者,只要严格掌握适应证,是一个值得推荐的治疗选择.%Objective To evaluate the clinical effect of radiofrequency thermocoagulation target ablation and O-zone injection in cervical spondylotic radiculopathy patients. Methods 35 cases of cervical spondylotic radiculopathy were treated with percutaneous puncture of intervertebral space under the guidance of C-arm imaging and then with radiofrequency thermo-coagulation target ablation and Ozone injection. The effect of treatment after 1 week、1 month and 1 year after operation was evaluated . Results The follow - up lasted 9 months to 2 4 months (average 13. 2 months) ,The postoperative VAS score and the preoperative VAS score were significantly improved(P<0.01). Excellent and good rate of subjective satisfaction was 94. 3%. There were no complications. Conclusion Radiofrequency thermocoagulation target ablation and Ozone injection is an effective,minimallyinvasive and safe method in treating cervical spondylotic radiculopathy.
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