- 期刊
Disc Excision and Interbody Fusion for Lumbar Discogenic Pain
椎間盤切除術及椎體間融合術治療腰椎椎間盤疼痛
摘要
三十二位嚴重下背部疼痛疾患者經過最少十二個月的保守治療失敗後，以椎間盤攝影術及疼痛激發檢驗為指標，施行椎間盤切除術及椎體間融合術治療。經過二十四至四十個月的追蹤，沒有死亡病例或嚴重併發症發生。87.2%的病患得到滿意的治療效果，融合率達96.8%。此研究證據顯示椎間盤攝影術及疼痛激發試驗對精確診斷及選擇手術方法是重要且可靠的依據。椎間盤切除術和椎體間融合術是治療腰椎椎間盤疼痛有效且安全的方法。
關鍵字
無資料並列摘要
Thirty-two consecutive patients with disabling low-back pain who had failed with a minimum of 12-month trial of conservative treatment were treated by disc excision and interbody fusion ass directed by discographic pain provocation. All patients were followed for 24-40 months after surgery. There were no death or major complications. Satisfactory results were seen in 87.2% of the patients. The overall fusion rate was 96.8%. The available evidence suggests that the discography and pain provocation studies are mandatory and reliable in diagnosis and making surgical decisions. The disc excision and interbody fusion are effective and safe treatment for disabling lumbar discogenic pain.
延伸閱讀
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