目的 探讨CT引导下臭氧消融联合射频热凝治疗腰椎间盘突出症的临床应用价值。方法 65例经临床、影像检查确 诊的腰椎间盘突出症患者在CT引导下先行椎间盘内、外注射臭氧，后行射频热凝治疗。结果 65例患者治疗后随 访3～6个月，按改良Macnab疗效评定标准分级。优22例、良33例、可6例、差4例，总有效率93.8％，优良率为 84.6％，均未出现并发症。结论 CT引导提高了穿刺的准确性，在严格掌握适应证的情况下，臭氧消融联合射频热 凝是治疗腰椎间盘突出症的一种微创、安全、有效的方法。

Objective To investigate the clinical effectiveness of lumbar disc herniation with CT guided ozone injection and radiofrequency thermocoagulation. Methods 65 patients with lumbar disc herniation confirmed by clinical and imaging examination were underwent ozone injection and radiofrequency thermocoagulation guided with CT. Results All patients were followed up for 3 to 6 months, and the improvement rate was evaluated according to Macnab standard. The total effective rate was 93.8%, and the improvement rate was 84.6%. Conclusion CT guided treatment could greatly elevate the accuracy of puncture. Ozone injection combined with radiofrequency thermocoagulation was a minimally invasive, safe and markedly effective method for lumbar disc herniation treatment.