The Controlled Clinical Study Of Extraspinal Injection Needle Scalpel For The Treatment Of Lumbar Disc Herniation

ObjectiveThe research adopts etraspinal injection needle scalpel to treat lumbar disc herniation, A prospective controlled clinical study is designed to formulate a standardized operation process to treat lumbar disc herniation through injection needle scalpel on the interverbral joint or intervertebral foramen; evaluating the effect of each parts in the treatment of the disease, to select the optimal treatment to guide clinical diagnosis and treatment. And through the quantitative indicators to assess curative effect. And push forward its wide use in clinical practice.MethodsAccording to the principle of randomized clinical trials, we select ninety cases who have been diagnosed as lumbar disc herniation in orthopedic outpatients department or inpatient in Guangdong provincail hospital of Traditional Chinese Medicine;According to the treatment time, they are randomly separated into three groups:Group A is treated interverbral joint treatment area that beside the spinous process between 1.5-2 cm, to aim the needle scalpel at lumbar dorsal root ganglion; group B is the treatment of intervertebral foramen treatment area that beside the spinous process about 3.5 cm, to aim the needle scalpel at lumbar spinal nerve anterior branch;, group C is the treatment of group A and group B;Each patient was given only one treatment. By monitoring the patients before and after the treatment, (With time nodes including:before the treatment, the first week after the treatment and three months follow-up), we used JOA score、ODI score and VAS score to take a efficacy evaluation of all those three groups of patients’ signs and symptoms。We have established a database of score results using the SPSS19.0 software, which leads to a conclusion.Results1、Three groups after treatment 1 weeks follow-up; the patients symptomatic and functional score was has obviously improved; According to the independent T test analysis, P< 0.05, statistically significant. Three months later, group A compared with before treatment, P> 0.05, there was no statistically significant;group B and group C compare with before treatment, P<0.05, statistically significant.2、Three groups after treatment 1 weeks follow-up, group B and group C is better than group A on the symptomatic and functional score, P<0.05, statistically significant. We compared group B with group C, P>0.05, there was no statistically significant. After three months follow-up, group B and group C is better than group A on the symptomatic and functional score, P <0.05, statistically significant. We compared group B with group C, P<0.05, statistically significant.Conclusion1、Extraspinal injection needle scalpel treatment to treat lumbar disc herniation, used the needle scalpel to release the synechia on the interverbral joint or intervertebral foramen to effectively relieve the clinical symptoms of patients at an early stage, improve the lumbar vertebral function, improve the quality of life of patients.2、Extraspinal injection needle scalpel therapy treat the lumbar disc herniation on interverbral joint and intervertebral foramen at the same time or the intervertebral foramen only all can effectively relieve the clinical symptoms of patients at long ter;however the double treatment area better treatment effect significantly, we can see a high fusion rate with improvement.3、Extraspinal injection needle scalpel treatment to treat lumbar disc herniation, is simple, easy to grasp, safe and reliable, and less side effects of treatment, worth to push forward its wide use in clinical practice.