Interventional treatment of lumbar disc herniation based on degeneration and fibrous ring rupture degree
10.13929/j.issn.1672-8475.2025.03.011
- VernacularTitle:基于纤维环退变及破裂程度介入治疗腰椎间盘突出症
- Author:
Yajin WANG
1
;
Lixia PENG
;
Peilin ZHOU
;
Yuqing DU
Author Information
1. 同济大学附属上海市第四人民医院血管病中心,上海 200434
- Publication Type:Journal Article
- Keywords:
intervertebral disk displacement;
angiography,digital subtraction;
radiology,interventional
- From:
Chinese Journal of Interventional Imaging and Therapy
2025;22(3):201-204
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of interventional treatment of lumbar disc herniation(LDH)based on degree of degeneration and fibrous ring rupture.Methods Totally 198 patients with LDH were retrospectively enrolled.Based on findings in digital subtraction angiography(DSA),the degree of degeneration and fibrous ring rupture were evaluated and different treatments were performed,and the efficacies were observed.Results Intradiscal electrothermal annuloplasty(IDET)were performed in 48 cases with fibrous ring degeneration and rupture of intervertebral disc but without protrusion,percutaneous lumbar diskectomy(PLD)/percutaneous laser disk decompression(PLDD)+ozone ablation were performed in 25 cases with grade 1 degeneration and grade 2 rupture with mild protrusion,targeted radiofrequency+ozone ablation were done in 23 cases with grade 2 degeneration and grade 2 or above rupture with mild protrusion,collagenase dissolution+PLD were done in 100 cases with grade 2 or above degeneration and grade 2 or above rupture with moderate or above protrusion and contrast agent entered into protruded intervertebral disc,while percutaneous cement discoplasty(PCD)were performed in 2 cases with grade 3 degeneration and grade 3 rupture with intervertebral stenosis.Twelve months after treatment,among 198 cases,excellent,good,acceptable and poor therapeutic effect was observed in 75,101,16 and 6 cases,respectively,with the effective rate of 96.97%(192/198).Conclusion Interventional treatments of LDH based on the degree of degeneration and fibrous ring rupture were valuable.
