Đặc điểm lâm sàng, cận lâm sàng và hiệu quả điều trị thoát vị đĩa đệm cột sống thắt lưng bằng tiêm hydrocortison ngoài màng cứng

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Tác giả: Anh Dũng Nguyễn, Văn Tuấn Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 611.835 Human anatomy, cytology, histology

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2021

Mô tả vật lý: 249-253

Bộ sưu tập: Metadata

ID: 498338

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Mô tả đặc điểm lâm sàng, cận lâm sàng và đánh giá kết quả điều trị thoát vị đĩa đệm cột sống thắt lưng bằng phương pháp tiêm Hydrocortison ngoài màng cứng. Phương pháp: Nghiên cứu can thiệp trên 80 bệnh nhân được chẩn đoán thoát vị đĩa đệm cột sống thắt lưng điều trị tại khoa Thần kinh Bệnh viện Hữu nghị Đa khoa Nghệ An năm 2020 - 2021. Kết quả: Tuổi đối tượng nghiên cứu từ 27 - 86 tuổi, độ tuổi 30 - 60 tuổi chiếm 57,5%, >
60 tuôir chiếm 38,7%, <
30 tuổi chiếm 3,8%. Nữ giới 62,5%, nam giới 37,5%. Nghề nghiệp lao động chân tay chiếm 68,8%, lao động trí óc 28,8%. Đặc điểm lâm sàng: Hội chứng cột sống (hạn chế tầm hoạt động CSTL 96,2%, điểm đau CSTL 91,2%, giảm chỉ số Schober <
14/10 cm 88,8%...) và hội chứng chèn ép rễ thần kinh (dấu hiệu Lasègue (+) 95%, dấu hiệu 'Chuông bấm' (+) 91,2%...)
về cận lâm sàng: loại thoát vị lồi đĩa đệm 41,2%, L4 - L5 61,2%. Sau điều trị tiêm Hydrocortison ngoài màng cứng, các dấu hiệu giảm rõ rệt. Tỷ lệ điều trị thành công cao chiếm 97,5%, chuyển phẫu thuật 2,5%. Kết luận: Nghiên cứu cho thấy tiêm hydrocortisol ngoài màng cứng cải thiện có ý nghĩa thống kê các triệu chứng lâm sàng ở bệnh nhân thoát vị đĩa đệm cột sống thắt lưng.To describe clinical and paraclinical characteristics
to remark on the outcomes of treatment of lumbar disc herniation with epidural hydrocortisone injection. Methods: Intervention study was conducted on 80 patients who were diagnosed with lumbar disc herniation at the Neurology Department of Nghe An General Hospital in 2020 - 2021. Results: The age of the study subjects was from 27 to 86, the age from 30 to 60 accounted for 57.5%, over >
60 accounted for 38.7%, under <
30 accounted for 3.8%. Female 62.5%, male 37.5%. Occupation of manual labor accounted for 68.8%, mental labor 28.8%... Clinical features: Spine syndrome (limited range of physical activity 96.2%, pain score 91.2%, decrease in Schober index <
14/10 cm 88.8%...) and nerve root compression syndrome (Lasègue sign (+) 95%, 'Bell' sign" (+) +) 91.2%...)
on paraclinical: herniated disc type 41.2%, L4 - L5 61.2%. After treatment with epidural hydrocortisone injection, the signs decreased markedly. The success rate of treatment is high, accounting for 97.5%, conversion to surgery is 2.5%. Conclusion: The study showed that epidural hydrocortisone injection significantly improved the clinical symptoms in patients with lumbar disc herniation.

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