Publications by authors named "Gonghao Zhan"

Introduction: "U" route transforaminal percutaneous endoscopic lumbar discectomy (PELD) was introduced for lumbar spinal stenosis (LSS) combined with disc herniation (DH) treatment. This study aims to explore the efficacy and safety of "U" route PELD on chronic pain patients with LSS combined with DH.

Methods: Degenerative LSS combined with DH patients who underwent "U" route PELD were reexamined, and 80 patients were recruited and followed up for 2 years.

View Article and Find Full Text PDF

Background: Pruritus is one of the most common side effects of epidural morphine administered for post-surgery analgesia, and pregnant women tend to be highly susceptible. The relative contributions of morphine concentration, local anesthetics, and level of pain to pruritus after epidural morphine for post-cesarean delivery analgesia remain unclear. Accordingly, the present study aimed to identify risk factors for pruritus after continuous administration of epidural morphine for post-cesarean delivery analgesia.

View Article and Find Full Text PDF
Article Synopsis
  • This study investigates brain functional network properties in chronic back pain patients with lumbar disk herniation (LDH) by using resting-state functional magnetic resonance imaging (fMRI) and compares them to healthy controls (HCs).
  • Key findings indicate significant disruptions in functional connectivity networks in patients with LDH, showing reduced hubness, segregation, and integration compared to HCs.
  • Cultural influences on brain reorganization were also explored, but results suggest that observed differences may be due to a combination of pain types and cultural variations between Chinese and American patients.
View Article and Find Full Text PDF

Background: Both transforaminal percutaneous endoscopic lumbar discectomy with foraminoplasty (TF PELF) and transforaminal percutaneous endoscopic lumbar discectomy without foraminoplasty (TF PELD) were developed for lumbar disc herniation (LDH) patients. However, the safety and effectiveness between the TF PELF and TF PELD have not been investigated.

Methods: Of the included 140 LDH patients, 62 patients received TF PELF (PELF group) and 78 patients received TF PELD (PELD group).

View Article and Find Full Text PDF

Injury to the lumbar artery during percutaneous endoscopic lumbar discectomy (PELD) is a very severe complication and only rarely reported. We present a 64-year-old patient with an injury to the right third lumbar artery during PELD which was successfully treated with intraoperative angiography and coil embolization. To our knowledge, this is the first report of the use of intraoperative angiography and coil embolization to treat a lumbar artery that had been lacerated during PELD.

View Article and Find Full Text PDF

Objective Pain catastrophizing is linked to many aspects of pain perception and defines a unique dimension in predicting pain intensity and physical disability. Pain Catastrophizing Scale (PCS) is an effective, validated,self-report measure, commonly used in clinical trials. Here, we present a Simplified Chinese PCS (SC-PCS) version developed in Chinese patients suffering from chronic pain.

View Article and Find Full Text PDF

The objective was to report a case of a 63-year-old man with a history of low back pain (LBP) and left leg pain for 2 years, and the symptom became more serious in the past 5 months. The patient was diagnosed with lumbar scoliosis combined with lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH) at the level of L4-5 that was confirmed using Computerized Topography and Magnetic Resonance Imaging. The surgical team preformed a novel technique, "U" route transforaminal percutaneous endoscopic lumbar discectomy (PELD), which led to substantial, long-term success in reduction of pain intensity and disability.

View Article and Find Full Text PDF

The present study aimed to investigate the effects of on morphine tolerance through the targeting of CXC chemokine receptor-4 (CXCR4) in a rat model of bone cancer pain (BCP). Sprague-Dawley (SD) rats were obtained and divided into model saline (=10), model morphine (=50), normal saline (=10) and normal morphine (healthy rats, =10) groups. After BCP rat model establishment, the remaining SD rats (=40) in the model saline group were assigned into pLV-THM-, pLV-THM-anti-, CXCR4 shRNA, blank and PBS groups.

View Article and Find Full Text PDF