CT-guided chemoablation in treating lumbar disc herniation :a randomized controlled study
10.3969/j.issn.1671-8348.2017.36.023
- VernacularTitle:CT引导下化学消融术治疗腰椎间盘突出症的临床研究
- Author:
Hao ZHANG
1
;
Maojiang YANG
;
Xian QIONG
;
Haosheng LI
Author Information
1. 重庆市垫江县人民医院放射科 408300
- Keywords:
tomography;
X-Ray computed;
intervertebral disk chemolysis;
intervertebral disk displacement
- From:
Chongqing Medicine
2017;46(36):5109-5111
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effectiveness of chemoablation for the treatment of lumbar disc herniations (LDH) to provide reference for its clinical treatment .Methods A total of 191 cases of LDH were divided into the group A and B . All cases were performed the CT-guided chemoablation for treating LDH .The group A conducted the intra-disc injection treatment , while the group B conducted the intra-disc and extra-disc combined injection .The cases were followed up by the modes of outpatient department or telephone on postoperative 30 ,90 ,180 d .The follow up and statistical analysis were conducted by referring to the Macnab effect evaluation criteria .Results The two groups conducted the outpatient department follow up or telephone follow up on postoperative 30 ,90 ,180 d .All cases did not appear the complications such as nerve damage ,spinal cord damage and intervertebral disc infection .In the intra-group comparison ,the VAS score had statistical difference between before and after treatment ( P<0 .05) .In the inter-group comparison ,the score after treatment in the group B was lower than that in the group A (P<0 .05) .The good effect rate on postoperative 30 d in the group A was 81 .1% (77/95) ,which on postoperative 90 d was 83 .2% (79/95) and which on postoperative 180 d was 85 .3% (81/95) .The good effect rate in the group B was 85 .4% (82/96) on 30 d ,88 .5% (85/96) on 90 d and 91 .7% (88/96) on 180 d .Conclusion CT-guided lumbar intervertebral disc minimally invasive interventional chemoab-lation has good and rapid analgesic effect ,and the intra-disc and inter-disc combined treatment has better curative effect .
