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首页> 外文期刊>Journal of Korean medical science >Clinical outcomes of epidural neuroplasty for cervical disc herniation
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Clinical outcomes of epidural neuroplasty for cervical disc herniation

机译:硬膜外神经成形术治疗颈椎间盘突出症的临床结果

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摘要

Cervical disc herniation is a common disorder characterized by neck pain radiating to the arm and fingers as determined by the affected dermatome. This condition has a favorable prognosis, but pain can have a serious detrimental impact on daily activities. Epidural neuroplasty has been applied as a treatment option for cervical disc herniation; however, no study has addressed the clinical outcomes. This retrospective study evaluated the clinical outcomes of epidural neuroplasty on 128 patients for the treatment of cervical disc herniation. To measure pain-related disabilities over time, the changes of pain scores in neck and arm were evaluated using a numerical rating scale (NRS) and the neck disability index (NDI). Compared with preprocedural values, the pain NRS of neck and arm demonstrated significant improvement at day 1, and 1, 3, 6, and 12 months after the procedure (P < 0.001). Likewise, the NDI was significantly reduced at 3, 6, and 12 months after the procedure (P < 0.001). There were no serious complications. Cervical epidural neuroplasty shows good clinical outcomes in the treatment of cervical disc herniation and can be considered a treatment modality for cervical disc herniation refractory to conservative treatment.
机译:颈椎间盘突出症是一种常见的疾病,其特征是由受影响的皮肤刀确定颈部疼痛会辐射到手臂和手指。此病预后良好,但疼痛会对日常活动造成严重的不利影响。硬膜外神经成形术已被用作颈椎间盘突出症的治疗选择。但是,尚无研究针对临床结果。这项回顾性研究评估了硬膜外神经成形术治疗128例颈椎间盘突出症的临床效果。为了测量随时间推移与疼痛相关的残疾,使用数字评分量表(NRS)和颈部残疾指数(NDI)评估了颈部和手臂疼痛评分的变化。与术前相比,颈部和手臂的疼痛NRS在术后1、3、6和12个月时均有明显改善(P <0.001)。同样,手术后3、6和12个月NDI显着降低(P <0.001)。没有严重的并发症。颈硬膜外神经成形术在颈椎间盘突出症的治疗中显示出良好的临床效果,可以认为是保守治疗难以治疗的颈椎间盘突出症的治疗方式。

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