皮肤透射射频盘减压:一项对27名患者的研究
N Živković1,2, S Ruetten3, G Tasić4,5
1Department of Neurosurgery, Acibadem Bel Medic Hospital, Belgrade, Serbia.
Nigerian journal of clinical practice
|December 29, 2023
概括
穿皮射频盘解压 (PRFD) 有效地治疗腰盘突起,显著减少疼痛和改善生活质量. 这种微创手术提供了一个安全的替代方案,用于激光病的手术.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 疼痛管理 疼痛管理
背景情况:
- 由于包含的圆盘突起而导致的根性病变通常需要有效的治疗.
- 穿皮射频核塑术提供了一种最少的侵入性方法.
- 这种技术利用受控的热移除来减少磁盘大小和解压神经根.
研究的目的:
- 评估通过皮肤进行射频盘解压 (PRFD) 的有效性和安全性,用于包含的腰椎盘突出.
- 用视觉模拟量表 (VAS) 和MacNab评分来评估患者的结果.
主要方法:
- 一项针对27名患有腰椎突起的患者 (30-64岁) 的前性研究.
- 患者在2018年5月至2019年5月期间接受了PRFD.
- 在1,3,6个月的临床随访中,通过VAS和MacNab评分评估了结果.
主要成果:
- 17名患者 (63%) 的治疗结果很好,8名患者 (29.7%) 的治疗结果很好,2名患者 (7.3%) 的治疗结果很差.
- 6个月后,背部和腿部疼痛的VAS平均得分从7.9降至3.1.
- 糟糕的结果与需要进一步干预的复发性磁盘脱落有关.
结论:
- PRFD是一种安全有效的治疗,用于导致根基病变的封闭磁盘突起.
- 这种手术是传统手术的可行替代方案.
- PRFD显著提高了患有腰椎根源病的患者的生活质量.
更多相关视频
10:09Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation
Published on: October 14, 2022
3.9K
03:24Author Spotlight: Development and Application of a Novel Suture Technique for Annular Fibrosus Repair in Percutaneous Transforaminal Endoscopic Discectomy
Published on: January 26, 2024
815
相关概念视频
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...
Degenerative Disc Disease ll: Pathophysiology
The symptoms of degenerative disc disease arise from a combination of mechanical compression, vascular compromise, and biochemical inflammation, which together disrupt nerve function and produce pain.Mechanical CompressionDisc degeneration reduces height and elasticity, predisposing to herniation of the nucleus pulposus, a major cause of radicular pain. Herniations may be protrusion (bulging with intact annulus), extrusion (nucleus extends beyond disc but remains connected), or sequestration...
