Radiofrequency thermocoagulation and ozone ablation: a new method for the treatment of cervical intervertebral disc herniation and cervical spondylosis

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A face pain, holding a middle-aged man with right hand came to the consulting room of Henan Province People's Hospital Department of pain, p

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A face pain, holding a middle-aged man with right hand came to the consulting room of Henan Province People's Hospital Department of pain, pain to tell: "doctor, my neck and right arm is very painful, I have seen a lot of places around, eat medicine, traction massage therapy is done, but the situation has not improved, recent days the symptoms aggravated, three consecutive nights of pain I have not slept, now a down arm ache, hand hemp, how do you see this?" After careful inquiry, detailed physical examination and combined with the imaging examination of the patient, the diagnosis of cervical spondylosis of nerve root was carried out in the hospital. The patient was hospitalized in Henan Province People's Hospital pain department, improve the relevant examination of a clear diagnosis, cervical MRI display 4 to 5 cervical disc herniation. Subsequently, the pain of the doctor of cervical disc radiofrequency thermocoagulation and ozone ablation. Second days after surgery, patients with neck and upper limb pain symptoms significantly reduced, the right arm can be put down and free movement, to the night can sleep safely.

Cervical spondylosis is a very common disease in clinic. It is due to the degenerative cervical spine, cartilage, ligament or cervical intervertebral disc degeneration, oppression or stimulate the adjacent spinal cord, nerve root, blood vessels and soft tissue, and thus produced a series of clinical symptoms of neck, shoulder and upper limb, called cervical vertebra disease, and divided into the neck type and nerve root, spinal cord, vertebral artery type, sympathetic nerve type, mixed type and other types of six, which is a common nerve root cervical spondylosis.

The so-called nerve root type cervical spondylosis refers to the degenerative changes of the cervical intervertebral disc and its secondary pathological changes caused by nerve root compression caused by the corresponding distribution of nerve pain as the main clinical manifestations. In clinical, the incidence of cervical spondylosis of nerve root is 40 to 50 years old, most of them are male, and the age of acute patients is more than the age of 30 to 40 years. In the etiology of cervical intervertebral disc, degenerative change is the occurrence and development of cervical disease in the pathological process of the most important reasons, then caused a series of secondary pathological changes, such as the nucleus lateral outward prominent adjacent vertebral osteophyte formation and lateral margin, hypertrophy of the small joint and Luschka joint, thickening yellow ligament and striae form into the spinal canal, these pathological factors and intervertebral disc can form a compression of the cervical nerve root stimulation, brachial plexus root produced the corresponding clinical symptoms. The symptoms for the side of neck and shoulder pain, recurrent upper limb numbness, cervical rotation and lateral flexion or extension can be induced root pain or aggravate, but also nerve innervation area involving the involvement of decreased muscle strength and muscle atrophy. Upper limb muscle weakness is more likely to be caused by motor nerve damage symptoms, such as when the patient is difficult to hold objects, and even when the object is easy to fall off. In the physical examination, we can see that the patient's neck muscles are tense, the activity is limited, there is pain in the spine and paravertebral, and can radiate to the upper limb. Decreased sensory and muscle strength in the affected area. Tendon reflex may be active in the early stage, while in the middle and late stage is weakened or disappeared.

For a herniated cervical disc we treated by radiofrequency ablation combined with ozone, which is accurate positioning in the C arm X ray machine is performed directly into the intervertebral disc herniation with only 0.2MM thick RF needle, the nucleus pulposus degeneration, solidification and shrinkage, reduce the volume, pathogenic part of relieve the oppression rarely, and hurt the normal nucleus pulposus, also directly blocking pulp glycoprotein and karyolymph beta protein release, warm effect to damage fiber ring, inflammatory reaction, spinal nerve root edema plays a good therapeutic effect, the symptoms disappeared immediately after treatment and loss, high efficiency. The puncture pain small, safe operation, nerve monitoring function and the time and temperature control will not cause the heat loss of nerve root, the impedance of the display can be detected by the nature of treatment group, 85 ~ 90 DEG C temperature rarely cause bleeding, little trauma and high incidence of infection is very low. At the same time also played an important role: (1) the oxidation of protein polysaccharide: normal nucleus pulposus by proteoglycan and collagen fibers and nucleus pulposus cells. The protein polysaccharide is one of the most important molecules in nucleus, nucleus pulposus matrix is produced high osmotic pressure and water content of up to 85% main factors ozone, the gas injection disc, can rapidly oxidize nucleus protein polysaccharide, the nucleus pulposus osmotic pressure reduction, water loss, degeneration, necrosis, atrophy and dry. (2) reduce inflammation: after lumbar disc herniation, around the compression of the dural and nerve blood vessels, blocking venous return, varicose vein exudation and tissue edema, and nucleus pulposus tissue release chemicals that cause autoimmune reactions in the formation of aseptic inflammation. (3) analgesia.

We applied the advantages of radio frequency and ozone to solve the problem of cervical disc herniation, and obtained satisfactory results. This method has been used in the treatment of lumbar disc herniation for many years, and achieved good results. In recent years, it has been used in the treatment of cervical disc herniation.

The treatment of cervical and lumbar intervertebral disc herniation by radiofrequency thermocoagulation and ozone ablation is a minimally invasive treatment method, which has the advantages of small trauma, high safety, small pain and good effect.

 

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