中國醫藥大學機構典藏 China Medical University Repository, Taiwan:Item 310903500/25366
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    题名: Treatment of Chronic Discogenic Pain by Utilizing Both Nucleoplasty and Epidural Neuroplasty — One Year Follow-Up
    作者: 王怡人(Wang I-Jen)
    贡献者: 健康風險管理學系
    关键词: discectomy;disc herniation;low back pain;minimally invasive;nucleoplasty;percutaneous disc decompression;caudal neuroplasty and epidurolysis
    日期: 2010-07
    上传时间: 2010-08-24 13:26:40 (UTC+8)
    摘要: Both nucleoplasty and epidural neuroplasty have emerged as minimally
    invasive techniques for treatment of low back pain and sciatica due to contained
    herniated discs. Although there were some studies examining their effects on
    functional activity and pain medications, the results of a combination of the two
    procedures have not been analyzed as yet. The aim of our study was to evaluate the
    outcome of a combination therapy in patients with chronic discogenic pain or
    sciatica due to nerve root compression by a single-level, contained herniated disc.
    Methods: Twenty-nine patients who had undergone the combination therapy of
    both nucleoplasty and epidural neuroplasty were included in the analysis and were
    evaluated at 3, 6, and 12 months postoperatively. They were asked to quantify their
    pain using a visual analog scale ranging from 0 to 10. The Oswestry Disability Index
    (ODI) was used to quantify disability by third-party observers. Patients were also
    surveyed with regard to their use of pain medications. We compared the data at 3, 6,
    and 12 months posttreatment to the baseline.
    Results: There was a significant decrease in pain and use of medications in our study
    group. The functional status was improved at 3, 6, and 12 months. There were no
    complications associated with the procedure and we found continued improvements
    over time in the study group.
    Conclusion: Nucleoplasty and epidurolysis in combination appear to be safe and
    effective in both early and later post-treatment periods. Further randomized,
    controlled studies are required to evaluate the long-term efficacy of the combination
    therapy.
    显示于类别:[健康風險管理學系] 期刊論文

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