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椎间盘造影后化学溶核术治疗坐骨神经痛的疗效

Efficiency of discography followed by chemonucleolysis in the treatment of sciatica.

作者信息

Louwaege A, Goubau J, Deldycke H, Brugman E, Friberg J, Gheysen F, Deryckere P, Herpels V

机构信息

Department of Radiology, University Hospitals KUL, Leuven, Belgium.

出版信息

J Belge Radiol. 1996 Apr;79(2):68-71.

PMID:8767835
Abstract

One hundred and twenty-eight patients underwent discography in our department over a period of 3 years. Eighty-four of them were treated by chemonucleolysis. All the patients were punctured by a postero-lateral approach of the intervertebral disc under fluoroscopy. Although several contraindications to chemonucleolysis are known, in our study, only one case of spondylodiscitis was noted. Overall success rate was 72.6%. Twenty-three patients (27.4%) experienced similar or increased pain after treatment.

摘要

在3年的时间里,我们科室对128例患者进行了椎间盘造影术。其中84例接受了化学髓核溶解术治疗。所有患者均在透视引导下采用椎间盘后外侧入路进行穿刺。尽管已知化学髓核溶解术有多种禁忌证,但在我们的研究中,仅发现1例脊椎椎间盘炎病例。总体成功率为72.6%。23例患者(27.4%)在治疗后出现了类似或加重的疼痛。

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