AUTOMATED PERCUTANEOUS LUMBAR DISCECTOMY VERSUS CHEMONUCLEOLYSIS IN THE TREATMENT OF SCIATICA - A RANDOMIZED MULTICENTER TRIAL

被引：106
作者：
REVEL, M
PAYAN, C
VALLEE, C
LAREDO, JD
LASSALE, B
ROUX, C
CARTER, H
SALOMON, C
DELMAS, E
ROUCOULES, J
BEAUVAIS, C
SAVY, JM
CHICHEPORTICHE, V
BOURGEOIS, P
SMADJA, M
HERCOT, O
WYBIER, M
CAGAN, G
BLUMBOISGARD, C
FERMANIAN, J
机构：
[1] Departments of Rheumatology, Hôpital Cochin
[2] Departments of Radiology, Hôpital Cochin
[3] Departments of Rheumatology, Hôpital Bichat
[4] Departments of Radiology, Hôpital Bichat
[5] Departments of Rheumatology, Hôpital Lariboisire
[6] Departments of Radiology, Hôpital Lariboisire
[7] Departments of Radiology, Hôpital Saint Antoine
[8] Department of Orthopedic Surgery, Hôpital Beaujon
[9] Department of Biostatistics, Hôpital Neckei
来源：
SPINE | 1993年 / 18卷 / 01期
关键词：
AUTOMATED PERCUTANEOUS DISCECTOMY; CHEMONUCLEOLYSIS; SCIATICA; RANDOMIZED TRIAL; DISK HERNIATION;
D O I：
10.1097/00007632-199301000-00001
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A randomized clinical trial was conducted to compare the results of automated percutaneous discectomy with those of chemonucleolysis in 141 patients with sciatica caused by a disk herniation; 69 underwent automated percutaneous discectomy and 72 were subjected to chemonucleolysis. The principle outcome was the overall assessment of the patient 6 months after treatment. Treatment was considered to be successful by 61% of the patients in the chemonucleolysis group compared with 44% in the automated percutaneous discectomy group. At 1-year follow-up, overall success rates were 66% in the chemonucleolysis group and 37% in the automated percutaneous group. Within 6 months of treatment, 7% of the patients in the chemonucleolysis group and 33% in the discectomy group underwent subsequent open surgery. The complication rates of both treatment groups were low, with the exception of a high rate of low-back pain in the chemonucleolysis group (42%). The results of this trial confirm previous controlled studies on chemonucleolysis and suggest that controlled studies should be carried out before automated percutaneous discectomy can be considered a useful intervention.
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页码：1 / 7
页数：7
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