Somma Francesco, Negro Alberto, Tortora Mario, Gemini Laura, Pace Gianvito, Fasano Fabrizio, Piscitelli Valeria, Sicignano Carmine, Prudente Mariaevelina, Falco Arturo De, Villa Alessandro, Lugarà Marina, Pezzullo Giovanna, D'Agostino Vincenzo, Gatta Gianluca
Neuroradiology Unit Ospedale del Mare, ASL NA1 Centro, Via Enrico Russo, Napoli, Italia.
Department of Advanced Biomedical Sciences, University of Naples Federico II, Napoli, Italia.
Interv Neuroradiol. 2023 Jun 15:15910199231183108. doi: 10.1177/15910199231183108.
Retrospective cohort study.
To assess the improvement of sexual impairment after percutaneous intradiscal ozone therapy in patients complaining of low back pain (LBP) due to lumbar disc herniation.
Between January 2018 and June 2021, 157 consecutive imaging-guided percutaneous intradiscal ozone therapies were performed on 122 patients with LBP and/or sciatic pain due to lumbar disc herniation. Oswestry Disability Index (ODI) was administered before the treatment and at 1-month and 3-month follow-ups and the ODI Section 8 (ODI-8/sex life) values were retrospectively reviewed to evaluate the improvement of sexual impairment and disability.
Mean age of patients was 54.63 ± 12.40. Technical success was achieved in all cases (157/157). Clinical success was registered in 61.97% (88/142) of patients at 1-month follow-up and in 82.69% (116/142) at 3-month follow-up. The mean ODI-8/sex life was 3.73 ± 1.29 before the procedure, 1.71 ± 1.37 at 1-month follow up and 0.44 ± 0.63 at 3-month follow-up. Compared to older patients, subjects under 50 years showed a significantly slower recovery of sexual impairment ( = 0.003). The treated levels were L3-L4, L4-L5, and L5-S1 in 4, 116, and 37 patients, respectively. Patients with L3-L4 disc herniation showed less sexual disability at presentation, with a significantly faster improvement of sexual life ( = 0.03).
Percutaneous intradiscal ozone therapy is highly effective in reducing sexual impairment due to lumbar disc herniation, and the improvement is faster in older patients and in the case of L3-L4 disc involvement.
回顾性队列研究。
评估经皮椎间盘内臭氧治疗对因腰椎间盘突出症而抱怨下腰痛（LBP）患者性功能障碍的改善情况。
在2018年1月至2021年6月期间，对122例因腰椎间盘突出症导致LBP和/或坐骨神经痛的患者连续进行了157次影像引导下的经皮椎间盘内臭氧治疗。在治疗前、1个月和3个月随访时进行Oswestry功能障碍指数（ODI）评估，并回顾性分析ODI第8部分（ODI - 8/性生活）的值，以评估性功能障碍和残疾的改善情况。
患者的平均年龄为54.63±12.40岁。所有病例（157/157）技术成功。1个月随访时61.97%（88/142）的患者临床成功，3个月随访时82.69%（116/142）的患者临床成功。术前平均ODI - 8/性生活评分为3.73±1.29，1个月随访时为1.71±1.37，3个月随访时为0.44±0.63。与老年患者相比，50岁以下的受试者性功能障碍恢复明显较慢（P = 0.003）。治疗节段分别为L3 - L4、L4 - L5和L5 - S1的患者有4例、116例和37例。L3 - L4椎间盘突出症患者就诊时性功能残疾较少，性生活改善明显更快（P = 0.03）。
经皮椎间盘内臭氧治疗在减轻腰椎间盘突出症所致性功能障碍方面非常有效，老年患者以及L3 - L4椎间盘受累的情况下改善更快。
Zotero 插件