Effect of acupotomy on the fat infiltration degree of lumbar multifidus muscle in patients with lumbar disc herniation after percutaneous transforaminal endoscopic discectomy.
10.13703/j.0255-2930.20220628-k0002
- Author:
Yu-Xian ZHONG
1
,
2
;
Yu DING
3
;
Ben-Sheng FU
4
;
Guang-Hao MA
4
;
Hong-Peng CUI
3
;
Ting-Ting CHEN
4
;
Ling-Zhi PAN
4
;
Qian LIU
4
;
Hang-Chen XU
4
;
Cheng-Xin LI
5
;
Ling GUAN
1
,
6
Author Information
1. Medical School of Chinese PLA, Beijing 100853, China
2. Department of Rehabilitation Medicine, Sixth Medical Center of Chinese PLA General Hospital, Beijing 100048.
3. Department of Orthopedics, Sixth Medical Center of Chinese PLA General Hospital, Beijing 100048.
4. Department of Rehabilitation Medicine, Sixth Medical Center of Chinese PLA General Hospital, Beijing 100048.
5. Department of Acupuncture and Moxibustion, TCM Unit, Sixth Medical Center of Chinese PLA General Hospital, Beijing 100048.
6. Department of Acupuncture and Moxibustion, TCM Unit, Sixth Medical Center of Chinese PLA General Hospital, Beijing 100048.
- Publication Type:Journal Article
- Keywords:
acupotomy;
lumbar disc herniation;
lumbar multifidus muscle;
percutaneous transforaminal endoscopic discectomy
- MeSH:
Humans;
Intervertebral Disc Displacement;
Activities of Daily Living;
Paraspinal Muscles;
Treatment Outcome;
Lumbar Vertebrae;
Retrospective Studies;
Endoscopy;
Diskectomy;
Acupuncture Therapy
- From:
Chinese Acupuncture & Moxibustion
2023;43(2):153-157
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the effect of acupotomy on the fat infiltration degree of lumbar multifidus muscle (LMM) in patients with lumbar disc herniation after percutaneous transforaminal endoscopic discectomy (PTED).
METHODS:A total of 104 patients with lumbar disc herniation treated with PTED were randomly divided into an observation group (52 cases, 3 cases dropped off) and a control group (52 cases, 4 cases dropped off). Patients of both groups received rehabilitation training of two weeks 48 h after PTED treatment. The observation group was treated with acupotomy (L3-L5 Jiaji [EX-B 2]) once within 24 h after PTED. In the two groups, the fat infiltration cross sectional area (CSA) of LMM was compared before and 6 months after PTED, the visual analogue scale (VAS) score and Oswestry disability index (ODI) score were observed before and 1, 6 months after PTED. The correlation between fat infiltration CSA of LMM in each segment and VAS score was analyzed.
RESULTS:Six months after PTED, the fat infiltration CSA of LMM in L4/L5 and the total L3-S1 segments of the observation group was lower than that before PTED (P<0.05), and the fat infiltration CSA of LMM in L4/L5 of the observation group was lower than the control group (P<0.01). One month after PTED, the ODI and VAS scores of the two groups were lower than those before PTED (P<0.01), and those in the observation group were lower than the control group (P<0.05). Six months after PTED, the ODI and VAS scores of the two groups were lower than those before PTED and 1 month after PTED (P<0.01), and those in the observation group were lower than the control group (P<0.01). There was a positive correlation between the fat infiltration CSA of LMM in the total L3-S1 segments and VAS scores in the two groups before PTED (r = 0.64, P<0.01). Six months after PTED, there was no correlation between the fat infiltration CSA of LMM in each segment and VAS scores in the two groups (P>0.05).
CONCLUSION:Acupotomy can improve the fat infiltration degree of LMM, pain symptoms and activities of daily living in patients with lumbar disc herniation after PTED.
