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经皮椎间孔镜治疗腰椎间盘突出症的临床效果 被引量:12

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摘要 目的评估经皮椎间孔镜治疗腰椎间盘突出症的临床效果。方法对112例单纯性腰椎间盘突出症患者行经皮椎间孔镜治疗,采用VAS疼痛评分、Oswestry功能障碍指数(ODI)评分和MacNab标准评价患者术后疗效。结果 112例患者均获得随访6-21个月。术后3个月、6个月的VAS疼痛评分和ODI评分均较术前降低[(3.4±1.9)分、(2.5±2.1)分vs.(7.9±2.1)分和(24.7±16.5)分、(13.8±9.6)分vs.(69.8±27.2)分](P<0.01)。术后6个月MacNab标准评定优良率为90.2%。结论经皮椎间孔镜技术治疗腰椎间盘突出症具有创伤小、并发症少、术后恢复快等优点,近期疗效可靠,且极大程度避免了对腰椎稳定性的破坏。
出处 《江苏医药》 CAS 2015年第18期2188-2189,共2页 Jiangsu Medical Journal
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参考文献9

  • 1Legrand E,HoppéE,Bouvard B,et al.Disc herniation-induced sciatica:medical or surgical treatment[J]?Rev Prat,2008,58(3):285-293.
  • 2Yeung AT,Tsou PM.Posterolateral endoscopic excision for lumbar disc herniation:surgical technique,outcome,and complications in 307consecutive cases[J].Spine(Phila Pa1976),2002,27(7):722-731.
  • 3Hoogland T,Schubert M,Miklitz B,et al.Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain:aprospective randomized study in 280consecutive cases[J].Spine(Phila Pa 1976),2006,31(24):E890-E897.
  • 4Matsumoto M,Hasegawa T,Ito M,et al.Incidence of complications associated with spinal endoscopic surgery:nationwide survey in 2007by the Committee on Spinal Endoscopic Surgical Skill Qualification of Japanese Orthopaedic Association[J].J Orthop Sci,2010,15(1):92-96.
  • 5Fairbank JC,Pynsent PB.The Oswestry disability index[J].Spine(Phila Pa 1976),2000,25(22):2940-2952.
  • 6周跃,李长青,王建,张正丰,初同伟,王卫东,潘勇,郑文杰,罗刚.经皮椎间孔镜治疗极外侧型腰椎间盘突出症的临床效果评价[J].中华创伤杂志,2009,25(8):698-704. 被引量:42
  • 7Ruetten S,Komp M,Merk H,et al.Use of newly developed instrument and endoscopes:full-endoscopic resection of lumbar disc herniation via the interlaminar and lateral transforamianl approach[J].J Neurosurg Spine,2007,6(6):521-530.
  • 8Ahn Y,Lee SH,Park WM,et al.Percutaneous endoscopic lumbar discectomy for recurrent disc herniation:surgical technique,outcome,and prognostic factors of 43consecutive cases[J].Spine(Phila Pa 1976),2004,29(16):E326-E332.
  • 9Kambin P,O′Brien E,Zhou L,et al.Arthroscopic microdiscectomy and selective fragmentectomy[J].Clin Orthop Relat Res,1998,(347):150-167.

二级参考文献21

  • 1周跃,王健,初同伟,李长青,张正丰,王卫东,郑文杰.极外侧型腰椎间盘突出症的微创外科治疗[J].中华骨科杂志,2007,27(4):241-247. 被引量:72
  • 2Abdullah AF, Ditto E, Byrd E, et al. Extreme lateral lumbar disc herniation. J Neurosurg, 1974, 41 (2) :229 -234.
  • 3Lew SM, Mehalic TF, Fagone KL. Transforaminal pereutaneous endoscopic discectomy in the treatment of far - lateral and foraminal lumbar disc hemiations. J Neurosurg, 2001, 94(2) :216 -220.
  • 4Jang JS, An SH, Lee SH. Transforaminal percutaneous endoscopic discectomy in the treatment of foraminal and extraforaminal lumbar disc hemiations. J Spinal Disord Tech, 2006, 19 (5) :338 - 343.
  • 5O' Brien MF, Peterson D, Crockard HA. A posterolateral microsurgical approach to extreme - lateral lumbar disc herniation. J Neurosurg, 1995, 83 (4) :636 - 640.
  • 6O' Hara LJ, Marshall RW. Far lateral lumbar disc herniation. The key to the intertransverse approach. J Bone Joint Surg (Br), 1997, 79(6) :943 -947.
  • 7Kim DY, Lee SH, Chung SK, et al. Comparison of muhifidus muscle atrophy and trunk extension muscle strength: percutaneous versus open pedicle screw fixation. Spine, 2005, 30 ( 1 ) : 123 - 129.
  • 8Huang TJ, Hsu RW, Li YY,et al. Less systemic cytokine response in patients following microendoscopic versus open lumbar discectomy. J Orthop Res, 2005, 23(2) :406 -411.
  • 9Kunogi J, Hasue M. Diagnosis and operative treatment of intraforaminal and extraforaminal nerve root compression. Spine, 1991,16(11):1312 -1320.
  • 10Viswanathan R, Swamy NK, Tobler WD, et al. Extraforaminal lumbar disc herniation: microsurgical anatomy and surgical approach. J Neurosurg, 2002, 96(2) :206 -211.

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