Reunderstand the treatment of lumbar disc herniation by chemical ablation / 局解手术学杂志

ABSTRACT

Lumbar disc herniation(LDH) is a kind of common and frequently-occurring disease which seriously affects the quality of life of patients.About 60% lumbocrural pain resulted from LDH.Chemical ablation is one of the non-vascular interventional procedures for the treatment of lumbar disc herniation in clinical minimally invasive treatment.It has many advantages such as minimally invasive,effective, low cost,and relieves or cures the pain of patients with lumbar disc herniation.This minimally invasive procedure has the interdisciplinarity characteristics with pain medicine, regional anatomy, radiography and pharmacology, which has been progressively developing from intra-lumbar intervertebral disc injection with oxidized nucleus pulposus,lumbar intervertebral disc with collagenase injection and psoas com-partment block to combined treatment.From C-arm X-ray system guided to CT and MSCT-guided which has the advantages of TLCS,precise localization,three-dimensional reconstruction,safe and rapid and guided treatment.Meanwhile,chemical ablation has serious complications, and the substance use and drug dosage have not been unified.In order to help the medic understand the development of this technology,we re-viewed chemical ablation to serve the patient better.