Abstract
Introduction.The study was devoted to assessing the effectiveness of laser therapy in the treatment of spondylogenic radiculoischemias. Low-intensity laser therapy and vaporization technology were used.Aim – to improve treatment and outcomes in patients with compression of the spinal roots in herniated intervertebral discs using various methods of laser therapy.Materials and methods. In two groups, the results of treatment of 225 patients with clinical manifestations of spondylogenic lumbosacral radiculoischemias were analyzed using laser therapy techniques. In 115 cases (group 1), laser treatment was performed using the method of puncture polychannel laser disk decompression. In 110 patients (group 2), low-intensity percutaneous laser therapy was used. The dynamics of the clinical and neurological manifestations of the disease was recorded: the time of pain syndrome reduction, the dynamics of motor and sensory disorders of the corresponding root, changes in parameters according to the Roland-Morris and Oswestry Disability questionnaire.Results. In both groups, an improvement in clinical and neurological manifestations was obtained: the intensity of pain syndrome according to VAS decreased in more than 70 % of the observed individuals. A significant improvement in the parameters of vital activity was revealed according to scales with a long-lasting effect (more than 12 months) with an improvement in the blood supply to the spinal roots.Conclusion. Laser radiation has significant clinical effectiveness; the important parameters are the wavelength and rate of the radiation. Structural-modifying action and improvement of microcirculation (of arterial and venous bed) are achieved. Evaluation of the effectiveness of polychannel laser puncture decompression is advisable using scales and questionnaires. Low-intensity percutaneous laser therapy and monochannel interstitial laser therapy provide a targeted antiedemic and neuroprotective effect with the possibility of dosing and control. The treatment is highly effective and improves the prognosis of the disease.
Highlights
Patients with compression of the spinal roots in herniated intervertebral discs using various methods of laser therapy
In 115 cases, laser treatment was performed using the method of puncture polychannel laser disk decompression
The dynamics of the clinical and neurological manifestations of the disease was recorded: the time of pain syndrome reduction, the dynamics of motor and sensory disorders of the corresponding root, changes in parameters according to the Roland-Morris and Oswestry Disability questionnaire
Summary
Примечание: МРТ – магнитно-резонансная томография; КТ – компьютерная томография; ЭНМГ – электронейромиография. Цель исследования – улучшить лечение и исходы у больных с компрессионно-ишемическими радикулопатиями при грыжах межпозвонковых дисков с использованием преформированных физических факторов (лазерного излучения). Материалы и методы исследования В соответствие с поставленной целью был разработан дизайн исследования, критерии включения и невключения. 4. Для достижения цели было проанализировано лечение 225 пациентов, которые были разделены на две группы. Отбор пациентов проводили в соответствии критериям включения Первая группа включала в себя 115 пациентов, которым проводили лечение в ФГУ «Северо-Западный окружной медицинский центр» и клиники неврологии ФГОУ ВО «Санкт-Петербургский государственный медицинский университет им. Всем пациентам проводили лечение с использованием лазерного излучения. Лечение у этих пациентов было направлено непосредственно www.microcirc.ru 20 (1) / 2021 Regional blood circulation and microcirculation
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