椎间盘椎间盘椎间盘椎病变的内视镜外科手术与内视镜乙醇核溶解相比
Christos Gogos1, Dimitrios K Filippiadis2, Georgios Velonakis2
1Neurosurgery Clinic, General Hospital "Asklepieio", 16673 Athens, Greece.
Diagnostics (Basel, Switzerland)
|July 14, 2023
概括
凝乙醇的内滴注射和管状椎间盘切除术在治疗腰椎间盘的治疗中具有相似的疗效和安全性. 这两种微创手术在12个月内都能提供显著的,持久的腿部疼痛缓解.
科学领域:
- 最少侵入性的脊柱手术
- 干预性神经放射学 干预性神经放射学
- 整形外科手术 整形外科手术
背景情况:
- 椎间盘是使人虚弱的腿部疼痛的常见原因.
- 传统的外科切割带有风险,需要时间恢复.
- 穿皮核溶解为椎间盘的治疗提供了一个不那么侵入性的替代方案.
研究的目的:
- 为了追溯地比较凝乙醇内注射与管道切除术的疗效和安全性.
- 评估12个月的结果,以减少腿部疼痛和整体幸福感.
- 评估症状包含性椎间盘的患者的手术并发症.
主要方法:
- 追溯分析40名患有症状的包含腰椎椎间盘的患者.
- 两个组:核分解 (凝结乙醇注射,n=20) 和外科手术 (管管切除术,n=20).
- 主要结局:12个月后腿部疼痛改善 (数字视觉尺度 - NVS单位);安全和技术结局也被评估.
主要成果:
- 在12个月后,两组都显示出与基线相比,从统计学上显著地减少了腿部疼痛 (p < 0.001).
- 一年后,平均腿部疼痛从7.8个NVS单位减少到0.45个 (核分解) 和0.70个 (手术).
- 两组之间疼痛减轻 (p=0.347) 或对日常活动的影响没有显著差异;没有报告的并发症.
结论:
- 化乙醇的内滴注射和管状椎间盘切除术在治疗症状性腰椎椎间盘方面同样有效和安全.
- 这两种手术都能在12个月内迅速,显著和持续地改善腿部疼痛的临床状况.
- 凝结乙醇核溶解为部分椎间盘患者提供了可行的,最少侵入性的椎间盘切除替代方案.
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