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与单纯椎间盘切除术相比,一期椎间盘切除术联合椎间关节射频去神经术治疗椎间盘突出症患者的疗效

Effectiveness of one-stage microdiscectomy and radiofrequency denervation of intervertebral joints compared to microdiscectomy in patients with spinal disc herniation.

作者信息

Nazarenko G I, Cherkashov A M, Shevelev I N, Kuz'min V I, Konovalov N A, Nazarenko A G, Asiutin D S, Gorokhov M A, Sharamko T G

机构信息

Meditsinskiĭ tsentr Banka Rossii, Moskva.

FGBNU "NII neĭrokhirurgii im. akad. N.N. Burdenko" RAMN, Moskva.

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2014;78(6):4-8. doi: 10.17116/neiro20147864-8.

Abstract

The article analyzes of the early and long-term outcomes in 113 patients who underwent surgical treatment for lumbosacral disc herniations. The first group of patients (n=32) underwent microdiscectomy in a combination with radiofrequency destruction (RFD) of the facet nerves. The control group patients (n=81) underwent microdiscectomy. This study demonstrates the advantage of combining RFD with open surgery. In this case, regression of both nerve root and back pain is achieved, which greatly accelerates rehabilitation of patients, restoration of their work ability, and therefore their return to normal life.

摘要

本文分析了113例接受腰骶椎间盘突出症手术治疗患者的早期和长期疗效。第一组患者(n = 32)接受了显微椎间盘切除术并联合射频毁损(RFD)关节突神经。对照组患者(n = 81)接受了显微椎间盘切除术。本研究证明了RFD与开放手术相结合的优势。在这种情况下,神经根疼痛和背痛均得到缓解,这极大地加速了患者的康复、工作能力的恢复,从而使他们回归正常生活。

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