Observation on the curative effect of continuous ozone intraspinal injection after UBE endoscopic removal of nucleus pulposus for lumbar disc herniation
Objective To observe the curative effect of continuous ozone intraspinal injection after unilateral biportal endoscopy(UBE)endoscopic removal of nucleus pulposus for lumbar disc herniation(LDH).Methods 60 patients with lumbar disc herniation were randomly divided into an observation group and a control group,with 30 patients in each group.all of which underwent UBE endoscopic removal of nucleus pulposus.The observation group was treated with continuous ozone intraspinal injection after surgery,while the control group was treated with routine incision suture and covered with sterile dressing.The lumbago and leg pain score before and after surgery,incision swelling score and exudation score after surgery were compared between the two groups.Results The visual analogue scale(VAS)scores of the control group 1 d before surgery and 1,5 and 12 d after surgery were(6.65±1.59),(5.13±1.18),(3.92±1.15),and(2.28±1.18)points,and those of the observation group were(6.62±1.15),(3.87±1.27),(2.31±1.10),and(1.11±0.92)points.There was no statistically significant difference in VAS scores between the two groups 1 d before surgery(P>0.05).1,5 and 12 d after surgery,VAS scores in both groups were lower than those 1 d before surgery,and the observation group was lower than the control group;the difference was statistically significant(P<0.05).The swelling scores and exudation scores of the control group were(2.16±0.58),(1.33±0.79),(0.42±0.12)points and(2.31±0.63),(1.60±0.27),(0.91±0.29)points 1,5 and 12 d after surgery,and those of the observation group were(1.82±0.47),(0.89±0.83),(0.15±0.16)points and(1.95±0.58),(1.32±0.21),(0.43±0.21)points.5 and 12 d after surgery,the swelling scores and exudation scores in both groups were lower than those 1 d after surgery,and the difference was statistically significant(P<0.05).12 d after surgery,the swelling scores and exudation scores of the two groups were lower than those 5 d after surgery,and the difference was statistically significant(P<0.05).The swelling scores and exudation scores of the observation group 1,5 and 12 d after surgery were lower than those of the control group,and the difference was statistically significant(P<0.05).Conclusion After UBE endoscopic removal of nucleus pulposus for lumbar disc herniation,continuous ozone intraspinal injection can effectively improve the symptoms of lumbago and leg pain in patients with lumbar disc herniation,and the incision swelling and exudation are minor,which is worthy of clinical application.
Unilateral biportal endoscopyLumbar disc herniationRemoval of nucleus pulposusVertebral canalOzone
万方数据
维普
