| Objective: The purpose of this study was to observe the short-term efficacy of radio-frequency target thermal coagulation ablation combined with ozone injection in the treatment of LDH,and to explore the differences in the treatment effects between minimally invasive surgery and conservative treatment,so as to provide a more effective idea and method for the clinical treatment of LDH.Methods:In this study,we retrospectively analyzed the medical records of patients who were hospitalized in the Department of Spine and Bone Traumatology of our hospital and were definitively diagnosed with LDH from January 2022 to October 2022.Sixty patients with LDH who met the inclusion criteria were taken as the research subjects.According to the differences in treatment options,they were divided into an observation group(radiofrequency ablation at thermal targets combined with ozone injection)and a control group(ironing,computer-based intermediate frequency treatment combined with lumbar and back muscle training).Among them,there were 30 cases(M 16,F 14)in the observation group and30 cases(M 15,F 15)in the control group.The VAS,ODI and average hospital stay of patients in the two groups was compared and analyzed one day before treatment,one day after treatment,one week after treatment,one month after treatment,and three months after treatment.The efficacy was determined by modified Mac Nab standard efficacy evaluation method during the terminal follow-up.All data were statistically analyzed using SPSS26.0 software.Results:(1)A total of 60 complete patients’ information was included and collected in this study.All patients successfully completed their respective treatment regimens,and no serious adverse reaction events or deaths occurred.(2)There was no significant difference in baseline data including age,gender,number of diseased segments,and course of disease between the two groups(P > 0.05),indicating that the two groups were comparable.(3)VAS score: There was no significant difference in VAS score one day before treatment between the two groups(P > 0.05).VAS scores of patients in the two groups tended to decrease over time after treatment.The comparison between groups showed that the VAS scores of patients in the observation group at each time point after treatment were lower than those in the control group,and the difference was statistically significant(P < 0.05).The VAS scores of patients in the observation group at each time point were compared with those one day before treatment,and the differences were statistically significant(P < 0.05).The VAS scores of the control group one day after treatment were not significantly different from those before treatment(P > 0.05).The VAS scores of the control group in one week,one month,and three months after treatment were significantly different from those of the control group one day before treatment(both P < 0.05).There was no significant difference in VAS scores between the two groups one month after treatment and three months after treatment(P > 0.05).The VAS scores of the observation group at one day after treatment,one week after treatment,and one month after treatment were significantly different from those at the previous time point,and the differences were statistically significant(P < 0.05).The VAS scores of the control group at one week and one month after treatment were significantly different from those at the previous time point,and the differences were statistically significant(P < 0.05).(4)ODI score: The difference in ODI score one day before treatment between the two groups was not statistically significant(P > 0.05).The ODI values of patients in both groups tended to decrease over time after treatment.The difference in ODI score between the two groups at each time point after treatment and one day before treatment was statistically significant(P < 0.05).The difference in ODI score between the two groups at each time point after treatment and the previous time point was statistically significant(P < 0.05).The ODI scores of patients in the observation group at each time point after the treatment were lower than those in the control group,and the differences were statistically significant(P < 0.05).(5)Mean hospital stay: 6.07±3.028 days in the observation group and 9.43 ± 3.126 days in the control group,and the difference between the two groups was statistically significant(P < 0.05).(6)Efficacy evaluation: At the last follow-up three months after treatment,two groups of efficacy evaluation: the experimental group(excellent in 20 cases,good in 8 cases,fair in 2 cases,and poor in 0 cases)and the control group(excellent in 11 cases,good in 15 cases,fair in 4 cases,and poor in 0 cases)showed no statistically significant difference in efficacy(P > 0.05).As for the excellent and good rate,there was a significant difference in the distribution of the cases of excellent and good between the two groups(P < 0.05).Conclusion:(1)Two methods of radiofrequency target thermal coagulation ablation combined with ozone injection and ironing treatment,computer intermediate frequency treatment and lumbar and back muscle exercise are both effective in the treatment of LDH.Both of the two schemes can effectively alleviate the symptoms of low back pain in patients and promote the recovery of lumbar function in patients.(2)The radiofrequency target thermal coagulation ablation combined with ozone injection was superior to the ironing treatment,computer intermediate frequency treatment combined with lumbar and back muscle training in the aspects of onset time,length of hospital stay,and distribution of excellent and good curative effects。... |
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