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

Abstract

Objectives: 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.