摘要
目的评价经皮椎间孔入路内镜下腰椎间盘切除术(TPELD)治疗腰椎间盘突出症的可行性和有效性。方法 2010年5月～2011年10月采用TPELD治疗腰椎间盘突出症患者22例。其中L3/4椎间盘突出2例,L4/5椎间盘突出15例,L5/S1椎间盘突出5例。于术前、术后1个月及末次随访时进行视觉模拟疼痛评分(VAS),末次随访时按改良Macnab标准评价临床疗效。结果手术时间60～110min,平均76min。术后住院时间3～7d,平均5.7d。无手术并发症及转为开放手术者。随访2～14个月,平均7.6个月。术前VAS评分为(7.97±1.03)分,术后1个月及末次随访时分别为(2.1±40.32)分和(1.0±60.45)分,与术前比较差异均有显著性(P<0.01)。末次随访改良Macnab标准评价临床疗效优9例,良11例,可2例。结论经皮椎间孔入路内镜下腰椎间盘切除术治疗腰椎间盘突出症可获得良好的近期效果,且安全、微创。
[ Objective ] To evaluate the feasibility and efficacy of treatment for lumbar disc herniation with transforaminal percutaneous endoscopic lumbar diseectomy. [Methods] From May 2010 to October 2007, 22 pa- tients were treated with transforaminal percutaneous endoscopic lumbar discectomy, which included 16 males and 6 females with average age of 48.2 years （range, from 22 to 72 years）. All patients had single level involved with 5 in L5/S1 and 15 in L4/5 and 2 in L3/4. Retrospective analysis of clinical results was performed. [Results ] The average operative time was 76 minutes （range, 60-110 min）, with a mean postoperative hospital stay of 5.7 days （range, 3-7 days）. There were neither complications related to the surgery, nor any conversion to open surgery. 22 cases were followed up 2-14 months （average 7.6 months）. The Visual analog scale （VAS） scores of preoperation, 1 month after operation and last follow-up were （7.97±1.03）, （2.14±0.32） and （1.06±0.45） respectively （P 〈0.01）. The clinical out- comes were determined using a modified Macnab criteria, which revealed that 9 patients had excellent result, 11 had good, 2 had fair. [ Conclusions ] Transforaminal pereutaneous endoscopic lumbar diseeetomy could achieve satisfac- tory short-term clinical results in treating lumber disc herniation and is a safe and efficacious minimally invasive surgical technique.
出处
《中国内镜杂志》
CSCD
北大核心
2012年第6期617-621,共5页
China Journal of Endoscopy
