Lomber disk hernisi tedavisinde lazer disk dekompresyonu ve epiduroskopinin yeri

Lomber disk hernisi genellikle konservatif tedaviye cevap veren bir hastalık olmakla birlikte bazen minimal invazif veya cerrahi yöntemlerle müdahale gerekebilmektedir. Günümüzde lomber disk herniyasyonunun sebep olduğu inatçı siyatik ağrısının en sık tercih edilen cerrahi tedavi yöntemi mikrodiskektomidir. Lokal anestezi altında uygulanan ve perkütan tedavileri içeren minimal invazif yöntemler son yıllarda daha fazla uygulanmaktadır. Perkütan Lazer Disk Dekompresyonu yöntemi disk protrüzyonu olan bazı olgularda cerrahinin yerini almaktadır. Bu yöntem ile hastanede yatış gerekmeden çabuk iyileşme beklenmektedir. Epiduroskopi, radikülopati olsun ya da olmasın bel ağrısı olan hastalarda kullanılan tanısal ve tedavi edici minimal invazif bir yöntemdir. Epiduroskopinin tek seansta ideal bir tanı ve tedavi kombinasyonu sağladığı düşünülmektedir. Bu çalışmada son zamanlarda uygulama imkanı artan bu iki tekniğin literatür eşliğinde incelemesi amaçlanmıştır.

The role of laser disc decompression and epiduroscopy in the treatment of lumbar disc herniation

Lomber disc herniations usually respond to conservative treatment, but occasionally minimally invasive procedures or surgical interventions are necessary. Currently the most common preferred surgical treatment of refractory sciatica caused by lumbar disc herniations is microdiscectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia are being applied more in recent years. Percutaneous Laser Disc Decompression (PLDD) is an interventional procedure replacing surgery in some cases of disk protrusion. This treatment can be carried out in an outpatient setting and quick recovery is suggested. Epiduroscopy is a minimally invasive diagnostic and therapeutic technique used in patients with chronic low back pain with or without radiculopathy. It has been thought that epiduroscopy offers an ideal combination of diagnostic and therapeutic interventions in one session. In this study we aimed to evaluate these two techniques according to literature which have increased opportunity to apply recently.

Kaynakça

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Kaynak Göster

  • ISSN: 2147-5903
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1989
  • Yayıncı: Galenos Yayınevi

3.2b 2.3b

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