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Clinical observation of bipolar radiofrequency target thermal coagulation combined with ozone ablation in the treatment of lumbar intervertebral disc protrusion
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DOI   10.11656/j.issn.1672-1519.2017.09.05
Key Words   lumbar intervertebral disc protrusion;radiofrequency thermocoagulation;ozone
Author NameAffiliation
DU Xue-zhong Department of Orthopedics, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China 
Abstract
    [Objective] To investigate the clinical efficacy of bipolar radiofrequency target thermal coagulation combined with ozone ablation in the treatment of lumbar intervertebral disc protrusion.[Methods] The 64 cases of patients with lumbar intervertebral disc protrusion were randomly divided into two groups:Bipolar radiofrequency target thermal coagulation combined with ozone ablation group and Yip's ten-step orthopedic treatment group. There are 32 cases treatment group and 32 cases in the control grou. The VAS score, JOA score, and the temperature difference (ΔT) of the two sides of regiones glutaea and lower extremities were collected before and after treatment. The improved MacNab criteria were used for evaluation. Statistical analysis was performed using SPSS 19.0.[Results] Bipolar radiofrequency target thermal coagulation combined with ozone ablation and manipulation of lumbar intervertebral disc protrusion can improve patient painand lumbar function, after treatment for 3 days, 14 days later, after 3 months, the pain and lumbar function improvement in the treatment group were better than those in the control group (P<0.05). The 3 months after treatment, the two groups of patients in the of the temperature difference were reduced, compared with before treatment, the difference was statistically significant (P<0.05). And after 3 months of treatment,the difference between the two groups of patients in the regiones cruris posterior and lateralis was significantly (P<0.05). After 3 months of treatment, the excellent rate of the treatment group was better than that of the control group, the difference was no significant (P>0.05).[Conclusion] Bipolar radioactive target thermal coagulation combined with ozone treatment of lumbar intervertebral disc protrusion, in improving patient pain and lumbar function of the exact effect, and the recent efficacy of stability, long-term efficacy remains to be further observed.

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