摘要
目的 评价椎间孔镜TESSYS（transforaminal endoscopic spine system）技术治疗游离型腰椎间盘脱出的手术技巧和临床效果.方法 回顾性分析68例行椎间孔镜TESSYS技术治疗的游离型腰椎间盘脱出患者的临床资料,术后按MacNab标准评估手术效果,对手术前后腰腿痛视觉模拟评分（VAS评分）和Oswestry功能障碍指数（ODI）评分进行比较.结果 68例患者平均随访1年,患者术前腰腿痛VAS评分为（8.11±2.23）分,术后3个月为（2.33±1.34）分,术后1年为（1.26±0.73）分,术后3个月、1年VAS评分均较术前明显改善（P〈0.01）.术前ODI评分为（66.50±18.23）分,术后3个月为（25.13±11.32）分,术后1年为（12.23±6.17）分,术后3个月、1年ODI评分均较术前明显改善（P〈0.01）.根据改良MacNab标准,优40例（59%）,良23例（34%）,可3例（4%）,差2例（3%）,优良率为93%.结论 椎间孔镜TESSYS 技术用于治疗游离型腰椎间盘脱出具有创伤小、恢复快和疗效确切的特点,正确的靶向穿刺和术中的仔细探查是手术成功的关键.
Objective To evaluate the surgical techniques and clinical results of transforaminal endoscopic spine system （TESSYS） in the treatment of sequestered lumbar disc herniation.Methods A total of 68 patients with sequestered lumbar disc herniation who were treated with TESSYS were enrolled into the current study and their clinical data were analyzed retrospectively.The efficacy of the surgery was assessed according to MacNab criteria,while their visual analog scores （VAS） and Oswestry disability index （ODI） were evaluated.Results All the patients were followed up for one year on average.Their VAS was （2.33±1.34） three months after surgery and （1.26±0.73） one year after surgery,which were remarkably improved compared with the VAS before surgery（8.11±2.23） （P〈0.01）.Their ODI was （25.13±11.32） three months after surgery and （12.23±6.17） one year after surgery,which were remarkably improved compared with the ODI before surgery （66.5±18.23） （P〈0.01）.According to MacNab criteria,the outcome was excellent in 40 patients （59%）,good in 23 patients （34%）,fair in 3 patients （4%） and poor in 2 patients （3%）,with an overall excellence rate of 93%.Conclusions TESSYS is an effective method to treat sequestered lumbar disc herniation,with less trauma,better recovery and definite therapeutic efficacy.Both correct targeting puncture and careful exploration during operation are essential.
出处
《徐州医科大学学报》
CAS
2017年第7期472-474,共3页
Journal of Xuzhou Medical University
基金
江苏省自然科学基金（BK20141281）
江苏省第五期“333人才工程”项目（BRA2016159）
江苏省第十三批“六大人才工程项目”（WSW-133）
扬州市社会发展科技攻关项目（YZ2011082）
江苏省科技支撑计划--社会发展项目（BE2013911）
关键词
游离型腰椎间盘脱出
椎间孔镜
椎间盘切除术
sequestered lumbar disc herniation
transforaminal endoscopy
discectomy
