Department of Orthopedic Surgery, King Saud bin AbdualAziz University for Health Sciences, College of Medicine, King Abdulaziz Medical City, Jeddah, National Guard Health Affairs, Kingdom of Saudi Arabia.
Neurosciences (Riyadh). 2023 Jul;28(3):159-164. doi: 10.17712/nsj.2023.3.20220113.
To investigate the pre-operative and post-operative characteristics of patients suffering from chronic back and radicular pain who had percutaneous hydrodiscectomy. Hydrodiscectomy is an advanced percutaneous discectomy technique that utilizes a concentrated, high flow water current for the cutting and simultaneous tissue aspiration of the intervertebral disc.
Retrospective cohort study at a single center. We assessed the eligibility of all patients who had undergone hydrodiscectomy in the orthopedic department of our institution for four years period. Out of 40 eligible patients, a total of 22 patients consented to participate in the study. Study period from March 2017 to February 2022.
Fifteen patients were males (68.2%), seven were females (31.8%). Mean age was 45.46 years. Patients had symptoms for a mean of 46.36 months prior to the procedure, and the mean extent of disc bulge was 5.2 mm. 68.2% of the patients reported a reduction in or complete elimination of the back pain and the radicular lower limbs pain following hydrodiscectomy. 95.5% of the patients experienced no pre-, intra-, or post-operative complications.
Results demonstrate that percutaneous hydrodiscectomy is safe and effective in patients with chronic back and radicular pain due to disc herniation.
研究接受经皮水切术治疗慢性腰腿痛和神经根痛患者的术前和术后特征。水切术是一种先进的经皮椎间盘切除术技术，利用集中、高流速水流切割并同时抽吸椎间盘组织。
单中心回顾性队列研究。我们评估了我院骨科四年期间接受水切术治疗的所有患者的资格。在 40 名符合条件的患者中，共有 22 名患者同意参与研究。研究期间为 2017 年 3 月至 2022 年 2 月。
15 名患者为男性（68.2%），7 名患者为女性（31.8%）。平均年龄为 45.46 岁。患者在接受手术前平均出现症状 46.36 个月，椎间盘膨出平均程度为 5.2mm。68.2%的患者报告称，经水切术后腰痛和神经根性下肢疼痛减轻或完全消除。95.5%的患者在术前、术中和术后均未发生并发症。
结果表明，经皮水切术治疗椎间盘突出引起的慢性腰痛和神经根痛患者是安全有效的。
