49 -1 (29/2) 2020 — Gafarov J.S., Saidov K.S., — EXPERIENCE OF TREATMENT OF PATIENTS WITH INTERVERTEBRAL HERNIASON LUMBAR LEVEL

EXPERIENCE OF TREATMENT OF PATIENTS WITH INTERVERTEBRAL HERNIASON LUMBAR LEVEL

Gafarov J.S., Bukhara State Medical institute,

Saidov K.S., Bukhara Branch of Republic Scientific Center of Emergency Medical Care.

Resume,

The article is devoted to the analysis of the results of examination and treatment of patients with spine pathology in lumbar segment. Because of their experience, the authors propose complex approach to the treatment of patients with discogenic lumbar-sacral rediculitis, complicated by the disks hernias and pain syndrome, based on the definite algorithm in the form of treatment program. Lumbodynia and lumbar ischialgia prevailed in neurological status of the patients (45, 2 %). Radicular disorders (radiculopathy, radiculoneuritis) are registered in 13, 1 % of patients. Pain syndrome by the visually analogue scale corresponded to 7-6 (40 % of patients) and 5-4 points (60 % of patients). Protrusion of the disks (bulging of the disk up to 4 mm) are revealed in 24, 3 % of cases. Median and paramedian hernias of disks (bulging of the disk from 4 to 8 mm) are revealed in 57, 4 % patients. Posterolateral hernias of disks (bulging of the disk from 4 to 7 mm) are revealed in 18, 3 % of patients. At the estimation of the effectiveness of treatment of 115 patients, favorable results of treatment in the terms up to 1 year were registered in 99 of them.

Key words: osteochondrosis, disk hernia, diagnostics, conservative treatment, laser vaporization, effectiveness of treatment

First page

179

Last page

181

For citation: Gafarov J.S., Saidov K.S., Experience of treatment of patients with intervertebral herniason lumbar level//New Day in Medicine 1(29)2020 179-181 https://cutt.ly/KvCue2d

List of References

  1. Басков В.А. Применение лазерных технологий в лечении деге­неративных заболеваний межпозвонковых дисков: дис. канд. мед. наук. – М., 2010. – С. 175.
  2. Бывальцев В.А., Сороковиков В.А., Егоров А.В., Белых Е.Г. и др. Различные методики дискэктомии при грыжах пояснич­ных межпозвонковых дисков: сравнительный анализ резуль­татов через 6 месяцев после операции // Бюл. ВСНЦ СО РАМН. – 2011. -№ 4-1. – С. 44-47.
  3. Бывальцев В.А., Сороковиков В.А., Калинин А.А. Егоров А.В. и др. Сравнительный анализ результатов декомпрессивных и одномоментных декомпрессивно-стабилизирующих операций при лечении диско-радикулярного конфликта пояснично-кре­стцового отдела позвоночника // Бюл. ВСНЦ СО РАМН. – 2011. -№ 4-1. – С. 38-43.
  4. Полищук Н.Э., Исаенко А.Л. Клиника и дифференциальная диагностика поясничного стеноза // Украинский медицинс­кий журнал. – 2001. -№ 2 (22). – С. 106-109
  5. Epstein N.E. Evolution of varied surgical approaches used in the management of 170 far-lateral disc herniations; indications and result // J. Neurosurg. -1995. – Vol. 83. – P. 648-656.

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