neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2021-24-1-101-109neurosurgery-1176Research ArticleОБЗОР ЛИТЕРАТУРЫLITERATURE REVIEWЧрескожная лазерная нуклеопластика на поясничном уровне: обзор литературыPercutaneous laser nucleoplasty at lumbar level: Literature reviewhttps://orcid.org/0000-0002-3299-1924БелобородовВ. А.BeloborodovV. A.

Россия, 664003 Иркутск, ул. Красного Восстания, 1

1 Krasnogo Vosstaniya Str., Irkutsk 664003, Russia

https://orcid.org/0000-0001-9039-9147СтепановИ. А.StepanovI. A.

Иван Андреевич Степанов

Россия, 664003 Иркутск, ул. Красного Восстания, 1

Россия, 664025 Иркутск, ул. Горького, 8

Ivan Andreevich Stepanov

1 Krasnogo Vosstaniya Str., Irkutsk 664003, Russia

8 Gorky Str., Irkutsk 664025, Russia

stepanovivanneuro@gmail.comФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава РоссииРоссияIrkutsk State Medical UniversityRussian FederationФГБОУ ВО «Иркутский государственный медицинский университет» Минздрава России; ООО «Харлампиевская клиника»РоссияIrkutsk State Medical University; Kharlampiev ClinicRussian Federation202227042022241101‑109Copyright © Белобородов В.А., Степанов И.А., 20222022Белобородов В.А., Степанов И.А.Beloborodov V.A., Stepanov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/1176

Цель исследования – представить анализ клинических испытаний по изучению клинической эффективности и безопасности методики чрескожной лазерной нуклеопластики на основе сделанного обзора российских и зарубежных исследований.

Представлены современные литературные данные, освещающие вопросы показаний, противопоказаний, техники выполнения, эффективности и безопасности методики чрескожной лазерной декомпрессии межпозвонковых дисков у пациентов с дегенеративным заболеванием поясничных межпозвонковых дисков. Изложены современные данные о выборе наиболее рациональной тактики хирургического лечения пациентов с данной патологией. Обозначены актуальные, остающиеся нерешенными вопросы, что диктует необходимость проведения крупных рандомизированных плацебо‑контролируемых клинических исследований с включением результатов последних в систематические обзоры и метаанализы.

The purpose of the study – to present an analysis of clinical trials to study the clinical efficacy and safety of the technique of percutaneous laser decompression of intervertebral discs based on a review of Russian and foreign studies.

The review article presents modern literature data covering the issues of indications, contraindications, technique, efficacy and safety of percutaneous laser disc decompression in patients with degenerative disease of the lumbar intervertebral discs. The publication present modern data on the choice of the most rational tactics for surgical treatment of patients with this pathology. Relevant, unresolved issues are indicated, which dictates the need for large randomized placebo-controlled clinical trials, with the inclusion of the latter’s results in systematic reviews and meta-analyzes.

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The authors declare that there are no conflicts of interest present.