低温等离子射频消融术联合臭氧和胶原酶治疗颈椎间盘突出症的疗效分析
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四川省中医药管理局科学技术研究项目(2021MS352);


Analysis of the efficacy of Low-temperature plasma radiofrequency abla-tion combined with ozone and collagenase in the treatment of cervical disc herniation
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    摘要:

    目的:探讨低温等离子射频消融术联合臭氧和胶原酶在颈椎间盘突出症患者中的应用效果。方法:选取90例接受颈椎间盘突出症治疗的患者为研究对象,按照治疗方式不同分为研究组和对照组,每组各45例。研究组采用低温等离子射频消融术联合臭氧和胶原酶进行治疗;对照组采用低温等离子射频消融术联合臭氧治疗。比较两组患者手术前后的视觉模拟评分(VAS),并使用日本骨科协会颈椎评分量表(JOA)评估患者的颈椎功能,并分析两组治疗效果的优良率。结果:所有患者均完成至少6个月的随访。术前和术后1个月,两组患者的VAS和JOA评分比较,差异无统计学意义(P>0.05);在术后3个月和6个月时,研究组的VAS和JOA评分均优于对照组(P<0.05)。术后6个月,研究组的治疗优良率为93.33%,高于对照组的75.56%(P<0.05)。结论:低温等离子射频消融术联合臭氧和胶原酶用于治疗颈椎间盘突出症患者,可提高治疗优良率,效果优于单纯低温等离子射频消融术联合臭氧注射治疗。

    Abstract:

    Objective:To explore the application effects of low-temperature plasma radiofrequency ablation combined with ozone and collagenase in patients with cervical disc herniation.Methods:A total of 90 patients with cervical disc herniation who were treated were selected and divided into a study group and a control group according to different treatment methods,with 45 cases in each group.The study group received treatment using low-temperature plasma radiofrequency ablation combined with ozone and collagenase,while the control group was treated with low-temperature plasma radiofrequency ablation combined with ozone.The Visual Analogue Scale(VAS)scores before and after surgery were compared between the two groups.The Japanese Orthopaedic Association(JOA)scale was used to evaluate cervical vertebra function in patients before and after surgery,and the excellent rate of the treatments between the two groups was compared.Results:All patients completed at least 6 months of follow-up.There were no statistically significant differences in VAS and JOA scores between the two groups before surgery and at 1 month post-surgery(P>0.05).At 3 and 6 months post-surger-y,the VAS and JOA scores in the study group were better than those in the control group(P<0.05).At 6 months post-surgery,the ex-cellent treatment rate in the study group was 93.33%,which was higher than the 75.56%in the control group(P<0.05).Conclu-sion:The combination of low-temperature plasma radiofrequency ablation with ozone and collagenase for the treatment of patients with cervical disc herniation can enhance the treatment effectiveness,yielding better results than low-temperature plasma radiofrequency ab-lation combined with ozone injection alone.

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杨颖;高振国;.低温等离子射频消融术联合臭氧和胶原酶治疗颈椎间盘突出症的疗效分析[J].川北医学院学报,2025,40(7):922-926.

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  • 在线发布日期: 2025-08-10
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