摘要
目的探讨经皮激光椎间盘减压术（percutaneous laser disc decompression，PLDD）治疗椎间盘源性腰痛的疗效。方法2002年6月～2004年12月我院对36例椎间盘源性腰痛，采用英国DIOMED公司半导体激光仪，激光功率15W，每个激光脉冲持续1s，间隔1s，照射能量800～1200J。VAS评分评价治疗效果。结果手术时间15～60min，平均30min。32例出现“疼痛复制效应”。36例随访6～36个月，平均11个月，32例有效（术后VAS评分改善≥3分18例，≥分14例），4例无效，有效率88．9％（32／36）。结论PLDD治疗椎间盘源性腰痛安全、有效、微创。
Objective To evaluate curative effects of percutaneous laser disc decompression （PLDD） in the treatment of discogenic low back pain. Methods A total of 36 patients with discogenic low back pain was included in the study. The PLDD was performed by using the DIOMED semiconductor laser treatment, with a power of 15 W, 1 s-pulse duration, 1 s-interval, and an energy of radiation of 800 - 1 200 J. Curative outcomes were evaluated based on the Visual Analog Scale （VAS） criteria. Results The operation time was 15 - 60 min （ mean, 30 min）. The pain provocation was observed in 32 patients. Follow-up examinations were conducted in the 36 patients for 6 -36 months （mean, 11 months）. The postoperative VAS scores were improved by ≥3 points in 18 patients and ≥ 2 points in 14 patients. Results revealed that 32 patients （88.9%） reported a good response and 4 （ 11.1% ） reported no response. Conclusions Percutaneous laser disc decompression is a safe, effective, and minimally invasive procedure that can be used for oatients with discogenic low back pain.
出处
《中国微创外科杂志》
CSCD
2006年第11期864-865,869,共3页
Chinese Journal of Minimally Invasive Surgery
