Silvinato Antonio, Simões Ricardo S, Buzzini Renata F, Bernardo Wanderley M
. Member of the Guidelines Program of the Brazilian Medical Association, São Paulo, SP, Brasil.
. Lecturer Professor of School of Medicine of USP; São Paulo, SP, Brasil.
Rev Assoc Med Bras (1992). 2018 Sep;64(9):778-782. doi: 10.1590/1806-9282.64.09.778.
Lumbar herniated disc are common manifestations of degenerative spine diseases, the main cause of radiated lower back pain. This guideline followed standard of a systematic review with recovery of evidence based on the movement of evidence-based medicine. We used the structured method for formulating the question synthesized by the acronym p.I.C.O., In which the p corresponds to the lumbar herniated disc, i to the treatment intervention with percutaneous hydrodiscectomy, c comparing with other treatment modalities, o the outcome of clinical evolution and complications. From the structured question, we identify the descriptors which constituted the evidence search base in the medline-pubmed databases (636 papers) and therefore, after the eligibility criteria (inclusion and exclusion), eight papers were selected to answer to clinical question. The details of the methodology and the results of this guideline are exposed in annex i.
腰椎间盘突出症是脊柱退行性疾病的常见表现，是下背部放射性疼痛的主要原因。本指南遵循基于循证医学的证据检索与系统评价标准。我们采用由首字母缩写词PICO合成的结构化方法来提出问题，其中P对应腰椎间盘突出症，I对应经皮水刀椎间盘切除术治疗干预，C为与其他治疗方式比较，O为临床进展和并发症的结果。从结构化问题中，我们确定了构成在Medline-Pubmed数据库（636篇论文）中证据检索基础的描述符，因此，根据纳入和排除标准，选择了八篇论文来回答临床问题。本指南的方法学细节和结果见附件一。
