RU2019132813A - Method for destruction of the medial branch of the spinal nerve - Google Patents

Method for destruction of the medial branch of the spinal nerve Download PDF

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Publication number
RU2019132813A
RU2019132813A RU2019132813A RU2019132813A RU2019132813A RU 2019132813 A RU2019132813 A RU 2019132813A RU 2019132813 A RU2019132813 A RU 2019132813A RU 2019132813 A RU2019132813 A RU 2019132813A RU 2019132813 A RU2019132813 A RU 2019132813A
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RU
Russia
Prior art keywords
spinal nerve
mandrel
medial branch
destruction
facet joint
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RU2019132813A
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Russian (ru)
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RU2019132813A3 (en
RU2748252C2 (en
Inventor
Вадим Анатольевич Бывальцев
Андрей Андреевич Калинин
Владимир Алексеевич Сороковиков
Алена Константиновна Оконешникова
Андрей Владимирович Егоров
Дмитрий Игоревич Бадагуев
Юрий Яковлевич Пестряков
Валерий Владимирович Шепелев
Original Assignee
Федеральное государственное бюджетное научное учреждение Иркутский научный центр хирургии и травматологии (ФГБНУ ИНЦХТ)
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Priority to RU2019132813A priority Critical patent/RU2748252C2/en
Publication of RU2019132813A3 publication Critical patent/RU2019132813A3/ru
Publication of RU2019132813A publication Critical patent/RU2019132813A/en
Application granted granted Critical
Publication of RU2748252C2 publication Critical patent/RU2748252C2/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Public Health (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Optics & Photonics (AREA)
  • Electromagnetism (AREA)
  • Otolaryngology (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Radiation-Therapy Devices (AREA)
  • Laser Surgery Devices (AREA)

Claims (1)

Способ деструкции медиальной ветви спинномозгового нерва, включающий денервацию медиальной ветви спинномозгового нерва путем пункции иглой с мандреном в области пораженного дугоотросчатого сустава, отличающийся тем, что заднебоковым доступом выполняют пункцию в проекции дугоотросчатого сустава до упора иглы с мандреном в место соединения поперечного отростка и дугоотросчатого сустава под рентген контролем, затем мандрен заменяют на оптоволоконный световод и производят деструкцию медиальной ветви спинномозгового нерва импульсным излучением лазера в режиме 970 нм 3-кратно с интервалом не более 5 секунд с постепенной обратной тракцией мандрена со световодом на 3 мм вдоль латеральной поверхности фасеточного сустава, частота излучения лазера 9 Гц, мощность 3 Вт в суммарной дозе тепловыделения 100 Дж, при этом время воздействия не более 15 секунд.A method of destruction of the medial branch of the spinal nerve, including denervation of the medial branch of the spinal nerve by puncture with a needle with a mandrel in the area of the affected facet joint, characterized in that the posterolateral access is performed in the projection of the facet joint to the stop of the needle with a mandrel at the junction of the transverse process X-ray control, then the mandrel is replaced with a fiber-optic light guide and the medial branch of the spinal nerve is destroyed by pulsed laser radiation in the 970 nm mode 3 times with an interval of no more than 5 seconds with gradual reverse traction of the mandrel with a 3 mm light guide along the lateral surface of the facet joint, radiation frequency laser 9 Hz, power 3 W in the total dose of heat release 100 J, while the exposure time is not more than 15 seconds.
RU2019132813A 2019-10-15 2019-10-15 Method for destruction of medial branch of spinal nerve RU2748252C2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
RU2019132813A RU2748252C2 (en) 2019-10-15 2019-10-15 Method for destruction of medial branch of spinal nerve

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
RU2019132813A RU2748252C2 (en) 2019-10-15 2019-10-15 Method for destruction of medial branch of spinal nerve

Publications (3)

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RU2019132813A3 RU2019132813A3 (en) 2021-04-15
RU2019132813A true RU2019132813A (en) 2021-04-15
RU2748252C2 RU2748252C2 (en) 2021-05-21

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RU2019132813A RU2748252C2 (en) 2019-10-15 2019-10-15 Method for destruction of medial branch of spinal nerve

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Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2164786C1 (en) * 2000-04-11 2001-04-10 Челябинский государственный институт лазерной хирургии Method for treating trigeminal nerve neuralgia
RU2673149C1 (en) * 2017-11-09 2018-11-22 Федеральное государственное учреждение "Федеральный научно-исследовательский центр "Кристаллография и фотоника" Method of percutaneous entry with laser puncture treatment of degenerative diseases of spine
RU2698219C1 (en) * 2018-04-09 2019-08-23 Федеральное государственное бюджетное учреждение "Национальный медицинский исследовательский центр реабилитации и курортологии" Министерства здравоохранения Российской Федерации (ФГБУ НМИЦ РК Минздрава России) Method of treating patients with dorsopathy on lumbosacral level
RU2714457C1 (en) * 2018-09-18 2020-02-17 Общество с ограниченной ответственностью "Медозонс" ООО "Медозонс" Method of treating dystrophic spinal and joint diseases

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Publication number Publication date
RU2019132813A3 (en) 2021-04-15
RU2748252C2 (en) 2021-05-21

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