Oğuz GÜRBÜZ, Mehmet Beşir SÜRME

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

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.

Anahtar Kelimeler:

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

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

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,

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