TITLE

Analysis of the Effect of different types of lumbar disc herniation treated by medical ozone

AUTHOR(S)
Yang yang Li Yan-hao He Xiao-feng
PUB. DATE
April 2012
SOURCE
International Journal of Ozone Therapy;Apr2012, Vol. 11 Issue 1, p52
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objective: To compare the effects of ruptured lumbar disc protrusion and unruptured lumbar disc protrusion treated by ozone, to access its different mechanisms and provide evidences for clinical application. Methods:To collect 1000 patients diagnosised wilh Lumbar intervertebral disc lesions from Jan,2009 to Dec,2011. Among these patients, male:562, female:438,age: 19-75 years old, the median pain time were 22 weeks. According to MRI and DSA in disc implanted by ozone, these lesions were divided into four subtypes: 1, 488 palienls (48.8% in total) with anular disruption of non-prominent type, 2. 303 patients (30.3% in total) with anular disruption prominent type, 3. 122 patients ( 12.2% in total) with fibrous ring of non-ruptured non-prominent type, 4. 87 patients (8.7% in total) with fibrous ring of non-ruptured prominent type. There were no statistical différences in the age, sex and the median pain time. The operative method taken in patients with contralateral supine, ipstlateral midline adjacent to open at the puncture site in 7-9cm, to wear in tbe disc lesion with the 21G needle, injecting 5 --10ml the 03-- O, mixed gas with concentration for 40ug/ml. To retreat needle to the intervertebral foramen and then injected with 40ug/m] concentration of 02-02 mixed gas 10-15ml and anti--inflammatory analgesic solution { with Debaosong 7mg 2% lidocaine 5ml and 500ug Vitamin B12).The follow-up time was 1 week . 3 and 6 months after the operation The clinical effect was evaluated wilh MacNab; evaluation of the pain relief is according to criterion of ODI, various types of effects using the X2 telt Result: After 1 week, 3 and 6 months follow-up Ma c N a h group.the efficacy rate were: the anular disruption of non-prominent type: 68,15%, 82.80%, 85.98%. anular disruption prominent type: 65.13%, 79.49%, 81.54%,fibrous ring of non-ruptured non-prominent type: 60.28%, 75.6 1%, 79.44%; fibrous ring of non-ruptured prominent type: 47.55%, 60.78%, 64.22%, There were obvious differences between anular ruption types and fibrous ring of ruptured ly¡ies(P<0.05), the evaluation of ODI of lumbar intervertebral disc protrusion before and after the treatment with medical ozone, the follow--up before and 6 months after the treatment(P<0.01),the results are : anular disruption of non--prominent type:68,37,9, 20,47.9 ( 85.98% ) ; anular disruption prominent type:67.25.2, 24.7 4.7 ( 81,54%) ; fibrous ring of non-ruptured non--prominent type:65.47.2, 27.37.9 ( 79.44% ) ; fibrous ring of non-ruptured prominent type: 69.78.1,35.65.4 ( 64.22% ) .Six months after the curative effect of follow--up between men and women (P>0.05),fiber ring to the rupture outstanding charm 81.69% of men,86.15% of women; Fiber ring broken outstanding type 78.72% of men, 82.37% of female. Fibrous ring of non- ruptured non - prominent type 76.28% of men, 80.26%of female; Fibrous ring of non- ruptured prominent type 65.22% of men, 61.46% of female. Conclusion: Treatment oí disc hernial inn with medical ozone had curative effecl, the anular disruption of non-pro minent type had the best efficacy, the result of anular disruption prominent type is good, and the fibrous ring of non-ruptured non-prominent type is better, but fibrous ring of non--ruptured prominent type had had effect. There had no significant difference hetween male and female. Its mechanism is effective to reduce the aseptic inflammation and edeina response of nerve root and spinal dural, relieve clinical symptom, but the effect on reducing disc hernia is limited .
ACCESSION #
83332973

 

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