The effect of intradiscal injection of percutaneous radiopaque gel ethanol on pain in patients with lumbar disc herniation: Our clinical experience.

Year 2022, Volume: 3 Issue: 2, 130 - 137, 01.08.2022

Oğuz Gürbüz Mehmet Beşir Sürme

Abstract

Introduction: Lumbar disc herniation (LDH); It is an important disease that is common in society and can cause socioeconomic problems. There are many treatment algorithms for LDH, including medical and surgical. Our aim in this study; To evaluate the clinical results of patients with LDH who did not benefit from conservative treatment after percutaneous intradiscal radiopaque gel ethanol (RGE) procedure in the light of the literature. Methods: A total of 44 levels of percutaneous intradiscal RGE were applied to 41 patients, 14 men and 27 women, hospitalized with the diagnosis of LDH. patients; Demographic characteristics, treatments they received, lumbar magnetic resonance imaging (MRI) taken 6 months later, visual analog scores (VAS) before and 6 months after percutaneous intradiscal RGE procedure, complications, side effects and patient satisfaction after the procedure were evaluated. Results: The VAS values of the patients were 8 before the procedure and 4.2 6 months after the procedure. A 47.5% reduction in pain was observed and these data were evaluated as statistically significant. When patients were asked about their satisfaction with the procedure after the percutaneous RGE procedure; 4 patients answered "poor", 13 patients "moderate", 13 patients "good" and 11 patients "excellent". The rate of those who were satisfied with the procedure was 90.2%, and these data were not considered statistically significant. Conclusion: As a result; Percutaneous intradiscal RGE procedure, in patients with a diagnosis of LDH and who did not benefit from conservative treatment; It can be a minimally invasive technique that reduces pain.

Keywords

Lumbar disc herniation, Percutaneous intradiscal injection, Radiopaque gel ethanol, Visuel analog scale

Lomber disk hernisi olan hastalarda intradiskal perkütan radyoopak jel etanol enjeksiyonunun ağrı üzerine etkisi: Klinik deneyimimiz

Abstract

Giriş: Lomber disk hernisi (LDH); Toplumda sık görülen ve sosyoekonomik sorunlara neden olabilen önemli bir hastalıktır. LDH için tıbbi ve cerrahi dahil olmak üzere birçok tedavi algoritması vardır. Bu çalışmadaki amacımız; konservatif tedaviden fayda görmeyen LDH'li hastaların Perkütan intradiskal radyoopak jel etanol (RGE) işlemi sonrası klinik sonuçlarını literatür ışığında değerlendirmektir. Yöntemler: LDH tanısı ile yatırılan 14'ü erkek, 27'si kadın olmak üzere 41 hastaya toplam 44 seviyede perkütan intradiskal RGE uygulandı. Hastalar; demografik özellikler, aldıkları tedaviler, 6 ay sonra çekilen lomber manyetik rezonans görüntüleme (MRG), perkütan intradiskal RGE işlemi öncesi ve 6 ay sonraki görsel analog skorlamalar(VAS), komplikasyonlar, yan etkiler ve işlem sonrası hasta memnuniyeti açısından değerlendirildi. Bulgular: Hastaların VAS değerleri işlem öncesi 8, işlemden 6 ay sonra 4.2 olarak saptandı. Ağrıda %47.5'lik bir azalma olduğu izlendi ve bu veriler istatistiksel olarak anlamlı olarak değerlendirildi. Perkütan RGE işlemi sonrası hastalara işlemden memnuniyetleri sorulduğunda; 4 hasta "kötü", 13 hasta "orta", 13 hasta "iyi" ve 11 hasta "mükemmel" yanıtını vermiştir. İşlemden memnun olanların oranı %90,2 olup bu veriler istatistiksel olarak anlamlı kabul edilmedi. Sonuç: Sonuç olarak; Perkütan intradiskal RGE işlemi, LDH tanısı olan ve konservatif tedaviden fayda görmeyen hastalarda; ağrıları azalmasını sağlayan minimal invaziv bir teknik olabilir.

Keywords

lomber disk hernisi, perkütan intradiskal enjeksiyon, radyoopak jel etanol, görsel analog skor

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