| Treatment of herniated lumbar disc by percutaneous laser disc decompression combined with synchronous suction technique through syringe |
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| 作者姓名： | Dhir B. Gurung Gaojian Tao Hongyi Lin Yanning Qian Jian Lin |
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| 作者单位： | [1]Department of Anesthesia, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China [2]Department of Pain management, Drum Tower Hospital, Nanjing, 210008, China |
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| 摘 要： | Objective： To compare the outcomes of percutaneous laser disc decompression （PLDD） and PLDD with synchronous suction through syringe in the patients with herniated lumbar disc（HLD）. Methods： Forty-two patients with HLD on MRI and those who did not respond to conservative treatment for 6 weeks were randomly divided into group A and group B. In group A, the patients were treated with PLDD and those in group B with PLDD and synchronous suction through syringe. GaAIAS diode laser at 810 nm was used for the ablation in both groups. The treatment effect was evaluated by modified MacNab＇s criteria on the 7^th, 30^th and 90^th day. Results： Evaluated by modified MacNab＇s criteria, the percentages of the excellent and good cases in total patients treated for group B and A were 80.95% and 57.14% on the 7^th follow-up day, 85.71% and 66.67% on the 30^th follow-up day, and 95.24% and 71.43% on the 90^th follow-up day, respectively. Conclusion： Synchronous suction technique through syringe during PLDD improves the overall outcome in the treatment of herniated lumbar disc.
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| 关 键 词： | 疝形成 经皮肤激光 减压手术 同步技术 |
| 收稿时间： | 2007-01-11 |
Treatment of herniated lumbar disc by percutaneous laser disc decompression combined with synchronous suction technique through syringe |
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| Dhir B. Gurung,Gaojian Tao,Hongyi Lin,Yanning Qian,Jian Lin.Treatment of herniated lumbar disc by percutaneous laser disc decompression combined with synchronous suction technique through syringe[J].Acta Universitatis Medicinalis Nanjing,2007,21(2):68-71. |
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| Authors: | Dhir B Gurung Gaojian Tao Hongyi Lin Yanning Qian and Jian Lin |
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| Abstract: | Objective: To compare the outcomes of percutaneous laser disc decompression (PLDD) and PLDD with synchronous suction through syringe in the patients with herniated lumbar disc (HLD). Methods: Forty-two patients with HLD on MRI and those who did not respond to conservative treatment for 6 weeks were randomly divided into group A and group B. In group A, the patients were treated with PLDD and those in group B with PLDD and synchronous suction through syringe. GaAIAS diode laser at 810 nm was used for the ablation in both groups. The treatment effect was evaluated by modified MacNab's criteria on the 7th, 30th and 90th day. Results: Evaluated by modified MacNab's criteria, the percentages of the excellent and good cases in total patients treated for group B and A were 80.95% and 57.14% on the 7th follow-up day, 85.71% and 66.67% on the 30th follow-up day, and 95.24% and 71.43% on the 90th follow-up day, respectively. Conclusion: Synchronous suction technique through syringe during PLDD improves the overall outcome in the treatment of herniated lumbar disc. |
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| Keywords: | percutaneous laser disc decompression herniated lumbar disc synchronous suction technique suction synchronous combined decompression lumbar disc diode laser percutaneous during outcomes good cases total Results criteria conservative treatment effect modified used ablation |
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