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| Superior and Middle Gluteal Nerve Neurolysis Combined with Neurotropin Close Treatment for LDH Postoperative Remaining Nerve Neuralgia |
| XU Kun, et al |
| The Affiliated Hospital of Chengde Medical College,Hebei Chengde 067000,China |
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Abstract Objective: To observe the clinical curative effect of superior and middle gluteal nerve neurolysis combining with neurotropin close treatment for LDH (protrusion of lumbar intervertebral disc) postoperative remaining nerve neuralgia. Methods: 90 LDH cases of the age between 40~59 years old (45 female cases and 45 male cases) who were insensitive to four weeks of regular conservative treatment, VAS 5 and still got lower limb pain or (and) numbness at the second week after undergoing waist 4~5 or waist 5- sacrum 1 removal of nucleus pulposus, intervertebral fusion surgery were randomly divided into three groups, 30 cases in each group: group A (testing control group), group B (shinbone tube seal), group C (superior and middle gluteal nerve neurolysis combining with neurotropin close treatment). After 24 weeks of treatment, observed the clinical curative effect of group C treating LDH postoperative remaining nerve neuralgia and VAS, JOA,clinical periodscore. Results: The clinical curative effect and VAS, JOA,Clinical periodscore score of group C (superior and middle gluteal nerve neurolysis combining with neurotropin close treatment) were significantly better than that of group A and group B,the differences was statistically significant (P＜0.05).Conclusion: Superior and middle gluteal nerve neurolysis combining with neurotropin close treatment can significantly relieve symptoms of LDH postoperative remaining nerve neuralgia and reduce patients'clinical pain, so it is of significant clinical curative effect and treatment significance.
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[1] 张西峰,王岩,刘郑生,等.神经妥乐平治疗腰椎间盘突出术后残余神经症状的临床观察[J].中国疼痛医学杂志,2014,12(1):21~23.
[2] 苏祥正,徐辉,肖嵩华,等.神经妥乐平治疗腰椎间盘突出症患者疼痛及麻木症状的临床效果研究[J].中国骨与关节杂志,2014,(4):265~267.
[3] Clifford JW, Richard JM .Neuropathic pain:etiology,symptoms and management[J].The Lancet, 2014, 5:1959~1964.
[4] 孔畅,黄刚,李永津.骶管封闭结合腹针治疗腰椎间盘突出症术后残余痛疗效观察[J].山西中医,2013,22(3):37~38.
[5] 李桂成.腰椎髓核摘除术后残余神经症状的原因及其防治研究进展[J].实用疼痛学杂志,2013,4(2):138~143. |
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2017, Vol. 23 
