透皮激光光盘解压后椎间盘大小变化的放射性分析.
Roberto Gazzeri1, Felice Occhigrossi1, Marcelo Galarza2
1Interventional and Surgical Pain Management Unit, San Giovanni Addolorata Hospital, 00184 Rome, Italy.
Pain medicine (Malden, Mass.)
|May 26, 2025
概括
皮革激光光盘解压 (PLDD) 在患有腰椎问题的患者中显著减少椎间盘大小. 这种微创手术为对保守护理不反应的封闭性瘤提供了有价值的治疗选择.
科学领域:
- 最少侵入性的脊柱手术
- 干预性放射学是干预性的放射学.
- 整形外科手术 整形外科手术
背景情况:
- 症状的腰椎间盘带导致显著的腰部疼痛和 sciatica.
- 通过皮肤激光光盘解压 (PLDD) 等最小侵入性技术是开放外科手术的替代方案.
- 对于腰椎间盘的PLDD的疗效仍在研究中.
研究的目的:
- 评估PLDD在患有腰椎突起和包含的患者中的有效性.
- 通过使用PLDD后的MRI评估椎间盘区域的定量变化.
- 为了将成像发现与患者的结果和满意度相关联.
主要方法:
- 一组58名患有腰椎根性病因椎间盘的患者接受了PLDD.
- 术后的MRI (2个月) 用于测量轴性和斜椎盘面积.
- 记录了患者报告的疼痛,临床结果和满意度.
主要成果:
- PLDD导致轴 (中位数为35.9%) 和斜腰 (中位数为49.3%) 圆盘面积的统计学显著减少.
- 所有患者都表现出椎间盘大小的减少,总体中位数减少率为52.7%.
- 显著的P值 (< 0.0001) 表明观察到的磁盘面积减少的可靠性.
结论:
- 在选定的患者中,PLDD是一种有效的治疗方法,可以减少椎间盘的尺寸.
- 这是一个有价值的选择,包含的腰椎间盘,不响应保守的管理.
- PLDD提供了统计学上显著的减少磁盘大小,作为开放手术的替代方案.
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