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[1]余 洋,谭 彪,杨世鹏,等.椎间孔镜下“可视化椎间孔成形技术”治疗腰椎间盘突出症的安全性及临床疗效分析[J].福建医科大学学报,2018,52(05):328-331335.
 YU Yang,TAN Biao,YANG Shipeng,et al.Percutaneous Endoscopic Lumbar Discectomy byVisible Foraminoplasty Approach for Lumbar Disc Herniation[J].Journal of Fujian Medical University,2018,52(05):328-331335.
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椎间孔镜下“可视化椎间孔成形技术”治疗腰椎间盘突出症的安全性及临床疗效分析(PDF)
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《福建医科大学学报》[ISSN:1672-4194/CN:35-1192/R]

卷:
第52卷
期数:
2018年05期
页码:
328-331335
栏目:
临床研究
出版日期:
2018-10-20

文章信息/Info

Title:
Percutaneous Endoscopic Lumbar Discectomy byVisible Foraminoplasty Approach for Lumbar Disc Herniation
文章编号:
1672-4194(2018)05-0328-05
作者:
余 洋1 谭 彪2 杨世鹏2 樊效鸿1
1. 成都中医药大学 临床医学院,成都中医药大学附属医院 骨科,成都 610075; 2. 成都中医药大学 研究生院,成都 610075
Author(s):
YU Yang1 TAN Biao2 YANG Shipeng2 FAN Xiaohong1
1.Department of Orthopaedics, The Affiliated Hospital of Chengdu University ofTraditional Chinese Medicine, Chengdu 610075, China; 2.Chengdu University of Traditional Chinese Medicine Clinical Medical School / Graduate School, Chengdu 610075, China
关键词:
椎间盘切除术 腰椎 外科手术微创性 内窥镜检查 脊柱
Keywords:
diskectomy lumbar vertebrae surgical procedures minimally invasive endoscopy spine
分类号:
R323.4;R619.2;R681.53;R683.2
DOI:
-
文献标志码:
A
摘要:
探讨“可视化椎间孔成形技术”治疗腰椎间盘突出症的安全性及临床疗效。 方法 收集行椎间孔入路经皮内镜下髓核摘除术的患者71例,分为2组:经典TESSYS技术组29例(对照组)及可视化椎间孔成形技术组42例(观察组)。观察并记录治疗前、治疗过程中及治疗后的相关指标,并行统计学分析。 结果 2组患者的年龄、性别、腰椎间盘突出类型、术前VAS评分及Oswestry功能障碍指数(ODI)差别均无统计学意义(P>0.05); 手术操作时间、术中C臂透视次数,观察组均明显低于对照组(P<0.01); 2组患者术后住院时间、随访时间、末次随访时的VAS评分及ODI评分比较差别均无统计学意义(P>0.05)。根据改良Macnab评定标准评定优良率,对照组29例中,优22例、良5例、可2例,优良率93.1%; 观察组42例中,优31例、良8例、可3例,优良率为92.9%,2组比较,差别无统计学意义(P>0.05)。 结论 椎间孔镜下“可视化椎间孔成形技术”治疗腰椎间盘突出症安全、有效,与经典的TESSYS技术比较,具有操作简便、手术时间短、放射暴露少的优点。
Abstract:
Objective To explore the clinical efficacy of percutaneous endoscopic lumbar discectomy by visible foraminoplasty approach for lumbar disc herniation. Methods From January 2015 to June 2016, a total of 71 patients were divided to control group(TESSYS approach 29 cases)and observation group(visible foraminoplasty approach 42 cases). Both groups were followed up by using the following measurements, and the treatment effect of the two groups was compared. Results There was no significant difference in sex, age, herniation type, postoperative bed rest time, and length of hospital stay between two groups(P>0.05). There was no difference in preoperative or last follow-up VAS, ODI scores between two groups(P>0.05). The average follow-up time of control group and observation group was(9.2±1.9)months and(9.5±2.1)months respectively, which showed no difference between two groups(P>0.05). Observation group had less operation time and intraoperative fluoroscopy times than control group(P<0.01). The satisfaction rate of modified Macnab classification in control group was 93.1% in control group and 92.9% in observation group, and there was no difference between two groups(P>0.05). Conclusion The percutaneous endoscopic lumbar discectomy by visible foraminoplasty approach are equal to the TESSYS approach for the LDH in clinical results but the former is superior in less operation time and less radiation exposure.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期: 2017-12-04基金项目: 四川省医学会医学科研重点课题(S17024)作者单位: 1. 成都中医药大学 临床医学院,成都中医药大学附属医院 骨科,成都 610075; 2. 成都中医药大学 研究生院,成都 610075作者简介: 余 洋,男,主治医师,医学硕士通讯作者: 樊效鸿. Email:44303427@qq.com
更新日期/Last Update: 1900-01-01