Chinese Journal of Tissue Engineering Research ›› 2012, Vol. 16 ›› Issue (17): 3095-3099.doi: 10.3969/j.issn.1673-8225.2012.17.014

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Interventional therapy selection for treatment of noncontained lumbar intervertebral disc herniation  

Zhao Hong-zeng1, Guan Wen-hua2, Cheng Jing-liang1, Yang Rui-min3   

  1. 1Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou  450052, Henan Province, China; 2Imaging Center, First Affiliated Hospital, Henan University of Science and Technology, Luoyang  471003, Henan Province, China; 3Intervention Center, First Affiliated Hospital of Xinxiang Medical University, Xinxiang  453100, Henan Province, China
  • Received:2011-10-28 Revised:2011-11-20 Online:2012-04-22 Published:2012-04-22
  • Contact: Cheng Jing-liang, Doctor, Chief physician, Professor, Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China cir.chjl@vip.163.com
  • About author:Zhao Hong-zeng★, Master, Chief physician, Professor, Department of Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China hongzengzhao@yahoo.com.cn
  • Supported by:

    Natural Science Research Program of Education Department of Henan Province, 2006320044*

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Abstract:

BACKGROUND: Noncontained lumbar intervertebral disc herniation is a common type in clinic. It is also the primary cause of failure in the conservative and microinvasive-interventional treatments. How to improve the treatment effect is the main point in the research of noncontained lumbar intervertebral disc herniation.
OBJECTIVE: To compare the effects among three interventional therapies in treating noncontained lumbar intervertebral disc herniation and explore how to improve the treatment effect of noncontained lumbar intervertebral disc herniation.
METHODS: A total of 174 cases of noncontained lumbar intervertebral disc herniation with various interventional treatments were involved. Percutaneous lumbar discectomy with forceps was performed in 66 cases, chemonucleolysis was performed in 52 cases, and double interventional therapy (DIT) of the above two methods was performed in 56 cases.
RESULTS AND CONCLUSION: After follow-up of 6 months, the excellent and good rate in the DIT group was significantly higher than those of the percutaneous lumbar discectomy group and chemonucleolysis group (P < 0.05). The uncomfortable rate in the DIT group was significantly lower than other groups. It is suggested that DIT could improve the excellent and good rate and reduce the uncomfortable rate in treating noncontained lumbar intervertebral disc herniation. DIT is an effective and safe method in treating noncontained lumbar intervertebral disc herniation without obvious increased difficulty.
 

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