中国现代手术学杂志2011，Vol.15Issue(3)：215-220,6.
臭氧髓核消融术失败的原因及治疗策略
Failure of Ozone Nucleolysis for Lumbar Disc Herniation: Etiology and Treatment Strategies
黄曹 1张强 1王尔天 1王敏 1刘东宁 1熊东林 1易伟宏1
作者信息
- 1. 深圳市第六(南山)人民医院脊柱外科,深圳,518052
- 折叠
摘要
Abstract
Objective To identify the causes of failed ozone nucleolysis for lumbar disc herniation and to describe the treatment strategies for revision surgery. Methods There were 112 subjects treated with ozone nucleolysis for lumbar disc herniation and 12 patients( 10.7％ ) needed revision surgery or antibiotics. Of 12 patients, 7(58.3％ ) caused by incorrect indication, 2( 16.7％ ) by technique-related factors,and 3(25.0％ ) by disease progression. Except for 1 subject with pyogenic discitis treated with clindamycin,the other 11 patients received revision surgery, including 1 meningioma at L1 received tumor resection with lamina decompression, 1 pyogenic discitis were treated by water washing and drainage with transforaminal endoscope, 1 patient with ipsilaterally recurrent disc herniation and low back pain received classic discectomy, 1 patient with contralaterally recurrent disc herniation and disfunction of nerve root received PLIF, 1 patient with ipsilaterally recurrent disc herniation who received ozone nucleolysis again, 3 patients with lumbar instability received TLIF and 3 patients with nucleus pulposus extrusion/sequestration or lateral recess stenosis received MED. Results The mean time interval between the ozone nucleolysis and second treatment was 4.0 months (range, 1 week ～ 19 months). All patients after second treatment were followed up for 22.4 months (range,1 ～ 43 months), whose ODI were significantly declined from 76.2 (64 ～ 92) to 24.0 ( 18 ～ 38) ( P ＜ 0.05 ).Conclusions The complication of ozone nucleolysis for lumbar disc herniation can not be ignored. And both to select correct patients and to standardize detals of ozone nucleolysis are keypoints to avoid the complication. According to the causes, proper intervention for failure of ozone nucleolysis can get good outcomes.关键词
臭氧/椎间盘移位/椎间盘化学松解术/手术后并发症Key words
ozone/ intervertebral disk displacement/ intervertebral disk chemolysis/ postoperative complications分类
医药卫生引用本文复制引用
黄曹,张强,王尔天,王敏,刘东宁,熊东林,易伟宏..臭氧髓核消融术失败的原因及治疗策略[J].中国现代手术学杂志,2011,15(3):215-220,6.
