CAJ | 학술논문

目的：评估经皮激光椎间盘减压术(PLDD)治疗腰椎间盘源性疼痛不同年龄段的疗效差异。方法：对63位通过核磁共振和椎间盘造影检查明确诊断的腰椎间盘源性疼痛患者，进行 PLDD(采用 NE-YAG 激光)治疗。并参照MacNab手术评价标准评价术后疗效。术后随访3个月，观察不同年龄段的疗效。结果：在腰椎间盘源性疼痛的63位患者中，青年组显效率83.3%，明显高于年长组60.6%(P＜0.01)。青年组总有效率100%，高于年长组97%。且在3个月的随访中，未发现感染、血管损伤和临床严重合并症的病例。结论：使用NE-YAG激光的PLDD术是一种安全有效的治疗腰椎间盘源性疼痛方法，且针对较年轻患者更为适宜。
목적：평고경피격광추간반감압술(PLDD)치료요추간반원성동통불동년령단적료효차이。방법：대63위통과핵자공진화추간반조영검사명학진단적요추간반원성동통환자，진행 PLDD(채용 NE-YAG 격광)치료。병삼조MacNab수술평개표준평개술후료효。술후수방3개월，관찰불동년령단적료효。결과：재요추간반원성동통적63위환자중，청년조현효솔83.3%，명현고우년장조60.6%(P＜0.01)。청년조총유효솔100%，고우년장조97%。차재3개월적수방중，미발현감염、혈관손상화림상엄중합병증적병례。결론：사용NE-YAG격광적PLDD술시일충안전유효적치료요추간반원성동통방법，차침대교년경환자경위괄의。
Objective:To evaluate the curative effect difference of lumbar discogenic pain treated with percutaneous laser disc decompression(PLDD) in different age groups.Methods:63 cases with lumbar discogenic pain who were confirmed by nuclear magnetic resonance and discography were selected.They were treated with PLDD(NE-YAG laser).We evaluated the postoperative curative effect according to MacNab operation evaluation standard.After surgery,follow-up time was 3 months.We observed the effect of different ages.Results:In the 63 cases with lumbar discogenic pain,the significant efficiency of youth group with 83.3%was higher than the older group with 60.6%(P<0.01).The efficiency of youth group with 100% was higher than the older group with 97%.And in the 3 months of follow-up,there was no infection,vascular injury and clinical serious complications.Conclusion:The PLDD using NE-YAG laser is a safe and effective treatment of lumbar discogenic pain,and it is more appropriate for younger patients.