对于椎间盘椎间盘的臭氧盘核解:一个系统的审查和元分析
Sharad B Ghatge1, Ajeya Asarkar2, Sanket S Warghade3
1Interventional Neuroradiology, Grant Government Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals, Mumbai, IND.
Cureus
|June 10, 2024
概括
臭氧治疗为宫椎间盘带提供了一种安全有效的微创治疗方法,显著减少部和手臂疼痛. 需要进一步的研究来证实其与其他方法相比的长期益处.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
背景情况:
- 椎间盘 Hernia 经常导致部和上肢疼痛,导致残疾.
- 外科手术存在风险,可能不适合所有患者.
研究的目的:
- 评估通过皮肤注射臭氧用于宫椎间盘的安全性和有效性.
- 在臭氧核溶解后使用视觉模拟尺度 (VAS) 评估疼痛减轻.
主要方法:
- 通过文献搜索,发现了五项有关臭氧盘核解与宫病变的相关研究.
- 进行了元分析,以确定安全性,疗效和症状缓解.
- 评估和删除了出版偏见.
主要成果:
- 与基线相比,臭氧治疗显示VAS得分在统计学上显著降低 (p < 0.0001).
- 标准化平均差异为2.78表示明显的疼痛缓解.
- 该程序被认为是相对安全和有效的.
结论:
- 内性臭氧核溶解是一种可行的,最小侵入性的选择,用于管理宫椎间盘的疼痛.
- 它为手术治疗提供了一个潜在的有效替代方案.
- 高质量的随机临床试验是必要的,以建立长期优越于现有的模式.
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