| 徐露露,赵文胜,朱国能,姜铁军,杜鑫丹.低温等离子射频消融联合臭氧消融术治疗颈椎间盘突出症的临床研究[J].浙江中西医结合杂志,2021,31(11): |
| 低温等离子射频消融联合臭氧消融术治疗颈椎间盘突出症的临床研究 |
| Clinical study of low temperature plasma radiofrequency ablation combined with ozone ablation in the treatment of cervical disc herniation. |
| 投稿时间：2021-06-30 修订日期：2021-08-26 |
| DOI： |
| 中文关键词: 低温等离子射频消融 臭氧消融术 颈椎间盘突出症 疼痛 炎症反应 |
| 英文关键词:low temperature plasma radiofrequency ablation ozone ablation cervical disc herniation pain inflammatory reaction |
| 基金项目: |
|
| 摘要点击次数: 501 |
| 全文下载次数: 13 |
| 中文摘要: |
| 目的 探讨低温等离子射频消融联合臭氧消融治疗颈椎间盘突出症的临床效果以及对炎症反应的影响。方法 回顾性分析2018年3月-2021年3月我科收治的65例单节段颈椎间盘突出症手术患者的基本资料及相关数据。按照所采取手术方式将其分为复合组(36例)和单纯组(29例), 复合组患者采用低温等离子射频消融术联合臭氧治疗，单纯组患者仅采用低温等离子射频消融术治疗。分别采集术前、术后3天与术后1个月随访时的视觉模拟评分（visual analogue scale, VAS），记录术前及术后72小时最常见伴随症状的变化以及抽取的静脉血中血沉、C反应蛋白和白细胞计数，对两组结果进行统计比较；并对两组的不良反应发生率进行比较。结果 两组患者术后3天及术后1个月疼痛评分较术前均显著降低(P<0.05),但两组间比较仅有术后第三天差异具有统计学意义(P＜0.05)；复合组患者术后血沉、C反应蛋白及白细胞计数均低于单纯组(P<0.05)；两组的不良反应发生率无统计学差异（P＞0.05）。结论 低温等离子射频消融联合臭氧消融术可有效缓解颈椎间盘突出症患者的疼痛症状,并能更好预防术后炎症的发生。 |
| 英文摘要: |
| Objective To investigate the clinical effect of low-temperature plasma radiofrequency ablation combined with ozone ablation in the treatment of cervical disc herniation and its influence on inflammatory reaction. Methods The basic data and related data of 65 patients with single segment cervical disc herniation treated in our department from March 2018 to March 2021 were analyzed retrospectively. According to the operation methods, they were divided into compound group (36 cases) and simple group (29 cases). Patients in the compound group were treated with low-temperature plasma radiofrequency ablation combined with ozone therapy, and patients in the simple group were treated with only low-temperature plasma radiofrequency ablation. The visual analogue scale (VAS) was collected pre-operation, 3 days and one month after operation; The erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) and white blood cell (WBC) count，as well as the most common concomitant symptoms were collected before and 72 hours after operation for statistical comparison. And the incidence of adverse reactions of the two groups were compared. Results The pain scores of the two groups were significantly lower at 3 days and one month after the operation than pre-operation (P<0.05), but between the two groups, only the difference on the third day after the operation was statistically significant (P<0.05); The postoperative level of ESR, CRP and WBC counts of the patients in the compound group was lower than that in the simple group (P<0.05). And there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion Low temperature plasma radiofrequency ablation combined with ozone ablation can effectively relieve pain symptoms and prevent postoperative inflammation in patients with cervical disc herniation. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
| 关闭 |
