Efficacy of low temperature plasma ablation combined with epidural tube in discogenic low back pain
GUO Yu′na1 DOU Zhi1 LI Xiaolin1 TANG Yuanzhang1 YANG Liqiang1 YAN Wei2▲
1.Department of Pain Management, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;
2.Department of Anesthesiology, Traditional Chinese Medicine Hospital of Beijing Huairou District, Beijing 101400, China
Abstract：Objective To observe the effect of low temperature plasma ablation combined with epidural anterior interspace catheterization in the treatment of discogenic low back pain. Methods From January 2016 to January 2017, 80 patients with discogenic low back pain underwent minimally invasive treatment in the Department of Pain Management of Xuanwu Hospital, Capital Medical University were selected and divided into low temperature plasma ablation combined with epidural tube group (Group A, 42 cases) and low temperature plasma ablation group (Group B, 38 cases) by random digital table method. The VAS scores of two groups 1 week, 1 month, 3 and 6 months after operation were compared; reformed Macnab assessment was used to evaluate the treatment effect of two groups 1 month, 3 and 6 months after operation; the complications were recorded. Results The VAS scores difference were statistically significant at 1 week, 1 month, 3 and 6 months after treatment compared with those before operation in two groups (P < 0.05). VAS scores in Group A at each time points after operation were lower than those in the Group B, the differences were statistically significant (P < 0.05). 1 month, 3 and 6 months after operation, the propotion of patients with excellent or good score in the reformed Macnab assessment in Group A were higer than those in Group B, the differences were statistically significant (P < 0.01). There was no complications such as nerve and artery injury or infection was found in the two groups. Conclusion Lumbar low temperature plasma ablation combined with epidural anterior interspace catheterization is safe and effective in the treatment of discogenic low back pain.
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2018, Vol. 15 
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