Saghebdoust Sajjad, Shafagh Seyed Ghavam, Pak Neda, Fekrazad Reza, Khadivi Masoud, Faghih Jouibari Morteza, Boustani Mohammad Reza
Department of Neurosurgery, Razavi Hospital, Mashhad, Iran.
Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Galen Med J. 2022 Dec 28;11:e2382. doi: 10.31661/gmj.v11i.2382. eCollection 2022.
Disc herniation is broadly defined as a localized or focal displacement of disc material beyond the limits of the intervertebral disc space. The disc material may be the nucleus, cartilage, fragmented apophyseal bone, annular tissue, or any combination thereof. Laser surgery is one of the treatment modalities for treating patients with lumbar disc herniation. This study aims to examine the effect of Percutaneous Laser Disc Decompression (PLDD) in patients with lumbar disc herniation. This study was conducted on 58 patients who underwent PLDD (optical fiber inserted through an 18G needle, 8 joules, and 8 watts). Individuals were monitored before and after treatment using the comparing visual analog scale (VAS) pain score (from 0 [no pain] to 10 [severe pain]). The mean age of participants was 63.19±13.48 years. Regarding gender, 24 patients (41.4%) were female. The mean VAS score before surgery was 8.73±1.29, and VAS score after surgery was 55.2±2.71, which means pain was significantly reduced (P0.001). The patients' post-PLDD pain may decrease; hence, PLDD can use as an appropriate method for treating lumbar disc herniation.
椎间盘突出广义上被定义为椎间盘物质超出椎间盘间隙界限的局部或局灶性移位。椎间盘物质可能是髓核、软骨、碎骨突骨、纤维环组织或它们的任何组合。激光手术是治疗腰椎间盘突出症患者的治疗方式之一。本研究旨在探讨经皮激光椎间盘减压术（PLDD）对腰椎间盘突出症患者的疗效。本研究对58例行PLDD（通过18G针插入光纤，8焦耳，8瓦）的患者进行。使用比较视觉模拟量表（VAS）疼痛评分（从0[无疼痛]到10[严重疼痛]）在治疗前后对个体进行监测。参与者的平均年龄为63.19±13.48岁。关于性别，24例患者（41.4%）为女性。术前平均VAS评分为8.73±1.29，术后VAS评分为5.2±2.71，这意味着疼痛明显减轻（P<0.001）。PLDD术后患者疼痛可能减轻，因此，PLDD可作为治疗腰椎间盘突出症的一种合适方法。
