【摘要】 目的分析臭氧髓核消溶术(A组)、后路开窗髓核摘除术(B组)以及胶原酶化学髓核消溶术(C组)治疗椎间盘突出症的方法和后期效果。方法采用统一的病例选择和疗效标准,对185例患者(其中A组60例,B组63例,C组62例)进行分析,比较3组治疗后评分和优良率。结果A组治疗后评分和优良率明显高于B组和C组,有非常显著性差异(P<0.01),B组高于C组有显著性差异(P<0.05)。结论椎间盘突出症不同治疗方法中,臭氧髓核消溶术和胶原酶化学髓核消溶术明显优于开窗髓核摘除术,具有基本无创的优点。而开窗髓核摘除术相对而言创伤较大,对脊柱的稳定性有一定的影响。臭氧髓核消溶术是椎间盘突出症治疗方法中最理想的方法。更多还原

【Abstract】 Objective To compare restrospectively the efficacy of intervertebral disk protrusion therapied by nucleus gelatinosus resorption with ozone by c-arm X-ray apparatus (groupA),Love method (groupB)and chemonucleolysis(discolysis)with collagenase(groupC). This is a retrospective analysis. Methods 185 patients were randomly divided into group A(60 patients) group B(63 patients) and group C(62 patients). Post-treatment score and fineness rate were recorded. Results Post-treatment score and fineness rate in group A were higher than that of group B and group C(P<0.001). Post-treatment score and fineness rate in group B were higher than that of group C(P<0.05). Conclusion There is a significant curative effect on lubar intervertebral disc protrusion therapied by nucleus gelatinosus resorption with ozone and chemonucleolysis (discolysis) with collagenase. They have less injury.Moreover, Love method may have an influence on spinal stability. At present therapy by nucleus gelatinosus resorption with ozone has proved to be the best.更多还原