Hashemi Masoud, Falsafi Mani, Razzaghi Mohammad Reza, Dadkhah Payman, Taheri Mehrdad, Delshad Mohammad Hossein, Zali Alireza
Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Assistant Professor of Orthopaedics, Department of Surgery, School of Medicine Shahid Beheshti Hospital, Babol University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2020 Fall;11(4):427-432. doi: 10.34172/jlms.2020.67. Epub 2020 Oct 3.
Nowadays many physicians have focused their attention on using low invasive methods for the treatment of disc protrusion. Thus, the current study was carried out to evaluate the effect and therapeutic outcomes of clinical percutaneous laser disc decompression (PLDD) in the treatment of chronic low back pain caused by disc protrusion during a two-year follow-up. This historical cohort study was conducted on 40 patients, who were suffering from chronic low back pain caused by disc protrusion diagnosed, and referred to the pain clinic of Akhtar Hospital from March to August 2016 were treated with PLDD and were followed up for at least two years after performing PLDD (from 2018 to 2019). All the information has been extracted using medical records and patient interview. The severity of pain was measured by the Numeric Rating Scale (NRS), and the Oswestry disability index (ODI) was measured before and two years after the treatment. The most common sites for two-level PLDD were L4-S1 and L3-L5, and the most common sites for one-level PLDD were L5-S1 and L4-L5. Overall, the levels of pain and functional disability two years after PLDD showed significant improvements ( =0.0001). The results revealed no statistically significant differences in NRS and ODI scores between the two groups of men and women two years after PLDD ( >0.05). Furthermore, they indicated no statistically significant differences in NRS and ODI scores between the different disc protrusion levels two years after PLDD ( >0.05). It seems that the PLDD is a low-invasive, safe, and effective method that can be used in patients with chronic low back pain caused by a disc protrusion. Therefore, it can be considered as a suitable choice in treating patients with chronic low back pain caused by a disc protrusion.
如今，许多医生都将注意力集中在使用低侵入性方法治疗椎间盘突出症上。因此，本研究旨在评估临床经皮激光椎间盘减压术（PLDD）在治疗椎间盘突出症所致慢性腰痛的两年随访期间的疗效和治疗结果。这项历史性队列研究对40例因椎间盘突出症导致慢性腰痛的患者进行，这些患者于2016年3月至8月被诊断出来并转诊至阿赫塔尔医院疼痛门诊，接受了PLDD治疗，并在进行PLDD后至少随访两年（从2018年至2019年）。所有信息均通过病历和患者访谈获取。疼痛严重程度采用数字评分量表（NRS）进行测量，治疗前和治疗两年后测量Oswestry功能障碍指数（ODI）。两级PLDD最常见的部位是L4-S1和L3-L5，一级PLDD最常见的部位是L5-S1和L4-L5。总体而言，PLDD术后两年疼痛和功能障碍水平有显著改善（=0.0001）。结果显示，PLDD术后两年，两组男性和女性的NRS和ODI评分在统计学上无显著差异（>0.05）。此外，结果表明，PLDD术后两年，不同椎间盘突出水平之间的NRS和ODI评分在统计学上无显著差异（>0.05）。PLDD似乎是一种低侵入性、安全且有效的方法，可用于治疗由椎间盘突出引起的慢性腰痛患者。因此，它可被视为治疗由椎间盘突出引起的慢性腰痛患者的合适选择。
