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Objective To explore the clinical effects and safety of radiofrequency thermocoagulation combined with ozone injection in the treatment of failed back surgery syndrome (FBSS). Methods A total of 58 patients suffered from FBSS were treated with radiofrequency thermocoagulation and ozone injection from October 2006 to December 2012.The changes of lumbar and leg functions were observed .The evaluation of clinical efficacy was made by visual analogue scale ( VAS) and Oswestry disability index (ODI) at one week, one month, three months, six months, and twelve months postoperatively , respectively. Results The operation was successfully completed in all the 58 patients , without serious complications .All the cases were followed for one year .The ODI was 20.3 ±3.1 at the last follow-up, which was significantly lower than that before operation (79.8 ±2.6, t=96.871, P=0.000).The VAS of back pain was (7.6 ±0.4) points preoperatively and (3.1 ±0.2) points at the last follow-up, which also showed statistical significance (t=45.206, P=0.000).According to the modified MacNab criteria, clinical outcomes showed excellent in 18 cases and good in 23 cases, with an excellent and good rate of operation being 70.7% (41/58). Conclusion Treatment of FBSS by using radiofrequency thermocoagulation and ozone injection is an effective option .
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Objective To explore the effects and security of traditional Chinese medicine combined with radiofrequency thermocoagulation in the treatment of lumbar disc herniation.Methods A total of 116 cases with lumbar disc herniation were randomly divided into a treatment group and a control group.The control group (56 cases) was treated with radiofrequency thermocoagulation,while the treatment grouP (60 cases)was treated with Chinese medicine on the basis of the control group.Clinical effect was evaluated by VAS score and JOA score standard analysis before therapy,and 24 hours,1 month,3 month and 6 months after the therapy.Results Thee was no significant differences(x2=0.19,P＞0.05)in VAS and JOA score between the two groups before therapy and 24 hours after the therapy.While after 1 months,3 months and 6 months after the therapy,there was significant difference between the two groups (F value of the control grouP was 168.50、97.80、109.10,F value of the treatment group was 286.50、165.34、75.82,P＜0.01).The therapeutic effects comparison between the two group after 6 months therapy:the recovery rate was 76.7％ and 90.0％ in the control group and the treatment group respectively,showing significant differences (x2=4.568,P＜0.05).Conclusion Chinese medicine combined with radiofrequency thermocoagulation was an effective method for cervical disc herniation.
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Objective To explore the efficacy of closed reduction with cannlated compression screws for the treatment of elderly paitents with intertrochanteric fracture.Methods From April 2002 to July 2006,guided by a C-arm X-ray system,58 elderly patients with intertrochanteric fracture were treated by closed reduction with cannlated compression screws.Results The mean operation time was 55 minutes(40 to 70 minutes),and the mean blood loss was 35 ml(30 to 40).The patients were discharged from hospital in 3 to 10 days after the operation(mean,6.5 days).All of the 58 patients were cured.According to criteria for evaluating the outcomes of intertrochantenic fracture,28 cases were excellent,25 were good,3 were fair,and 2 were poor.The Rate of excellent and good outcomes was 91.4%(53/58).Conclusion Closed reduction with cannlated compression screws is effective for elderly paitents with intertrochanteric fracture.