Ablation of lumbar disc herniation in 211 cases of different ways to puncture term efficacy.docVIP

 PAGE \* MERGEFORMAT 9 Ablation of lumbar disc herniation in 211 cases of different ways to puncture term efficacy Of: Kwan Man, Sun Haitao, Fu Zhenjiang [Abstract] [Objective] The target in the CT-guided radiofrequency ablation for the treatment of lumbar disc herniation and the effect of different ways to puncture. [Method] The disc is divided into 5 types, were used by the canal ways and means yellow ligament puncture treatment of posterolateral approach. [Results] The treatment of 211 cases, 280 disc, the puncture needle 325 times, 6 to 18 months by an average of 11 months follow-up, excellent rate of 94.8%, complications in 4 cases. [Conclusion ] CT personalized design puncture under way, clear precision, reduce injury and improve efficacy. [Keywords:] lumbar disc herniation, RF, CT Location Radiofrequency ablation target lesions by increasing the temperature of parts of disc disease, so degeneration, retraction, lifting its nerve root compression, for therapeutic purposes. Now reported to operate more in the X line [1], the Court Since July 2006 by the Swedish LEKSELL LNG30-1 RF device, the CT guided to complete the operation in 211 cases, the specific common methods have been reported [2]. The point is to grasp target tomography plane, designed needle point, puncture means and direction, through the design of the ideal navigation device applied to the patients copy. In view of the diversity of disc image shows the complexity, the puncture approach should emphasize personalized, summary report is as follows. 1 puncture approach CT-guided puncture, is a cross-sectional images show features the main part of the disc is to determine how to design the location of the main points of the puncture channels. Of experience will be divided into 5 types can only accurately describe the relationship with the puncture (Fig. 1): prominent in the midline, involving bilateral nerve root by the central type, in the middle of the side, partial medial ip