Опыт применения лазерной вапоризации в лечении грыж межпозвонковых дисков в поясничном отделе позвоночника

Acta Biomedica Scientifica

С. Н. Ларионов¹  З. В. Кошкарёва²  А. В. Горбунов²  В. А. Сороковиков²  В. Э. Потапов² 

[1] ГБОУ ДПО «Иркутская государственная медицинская академия последипломного образования» Минздрава России;ФГБНУ «Иркутский научный центр хирургии и травматологии»

关键词: грыжа диска;    остеохондроз;    лазерная вапоризация;    болевой синдром;   

DOI  :  10.12737/22936

学科分类：自然科学（综合）

来源: Scientific entre for Family Health and Human Reproduction Problems

【 摘 要 】

The article presents the analysis of effectiveness of laser vaporizationfor treatment of pain syndrome caused by lumbar disc herniation. We treated 149 patients (average age - 40 years). 62 (41.7 %) patients had lumbodynia, 67 (45.2 %) patients had lumbar ischialgia. Nerve root disorders (radiculopathy, radiculoneuritis) are found in 20 (13.1 %) patients. 86 (57.4 %) patients had median hernias of intervertebral disc (disc bulging for 0.6 ± 0.2 cm), 36 (24.3 %) patients had intervertebral disc protrusion and 27 (18.3 %) patients had lateral intervertebral hernia (disc bulging for 0.55 ± 0.15 cm). Satisfactory and good results of laser vaporization are registered in 140 (94 %) patients with circular protrusion and median hernias with disc bulging up to 7-8 mm. Also the decrease in VAS scores of pain syndrome by 2-5 points in comparison with initial condition is found. Unsatisfactory results are registered in 9 (6 %) patients with lateral hernias of more than 5 mm and with disease duration more than 6 months. Prospective (from 3 to 13 months) follow-up was conducted in 49 patients. 5 patients from the group with lateral hernias needed open surgeries.

【 授权许可】

CC BY