摘要
目的:探讨经椎间孔内镜脊柱系统(TESSYS)技术治疗单节段腰椎椎管狭窄症(LSS)患者的效果及影像学评价。方法:选取2020年12月—2022年12月北京丰台医院收治的136例单节段LSS患者,按照随机抽签法分为两组,各68例。对照组采用椎间孔镜神经根减压松解术(BEIS技术),观察组采用TESSYS技术。比较两组治疗效果、手术指标、疼痛程度及腰椎功能、影像学指标。结果:观察组治疗优良率为92.65%,高于对照组的80.88%,差异有统计学意义(P<0.05);观察组术中出血量少于对照组,手术时间、卧床时间、住院时间短于对照组,差异有统计学意义(P<0.05);术后3个月,观察组疼痛数字评分量表(NRS)评分、Oswestry功能障碍指数(ODI)评分低于对照组,差异有统计学意义(P<0.05);术后3个月,观察组椎管面积、侧隐窝外口矢状径大于对照组,差异有统计学意义(P<0.05)。结论:TESSYS技术治疗单节段LSS效果更佳,可提升手术效果,改善影像学指标,加速患者康复,减轻其疼痛程度,强化腰椎功能。
Objective:To investigate the effect and imaging evaluation of transforaminal endoscopic spine system(TESSYS)technique in the treatment of single segment lumbar spinal stenosis(LSS).Method:A total of 136 patients with single segment LSS treated in Beijing Fengtai Hospital from December 2020 to December 2022 were selected,and they were divided into two groups according to random drawing method,with 68 patients in each group.Broad easy immediate surgery(BEIS)technique was used in the control group,transforaminal endoscopic spine system(TESSYS)technique was used in the observation group.The therapeutic effect,surgical indexes,pain degree,lumbar function and imaging indexes were compared between the two groups.Result:The excellent and good rate in observation group was 92.65%,which was higher than 80.88%in control group,the difference was statistically significant(P<0.05).The intraoperative blood loss in the observation group was less than that in the control group,and the surgical time,bed time and hospital stay in the observation group were shorter than those in the control group,the differences were statistically significant(P<0.05).At 3 months after surgery,the scores of the numerical rating scale(NRS)and Oswestry disability index(ODI)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).At 3 months after operation,the vertebral canal area and sagittal diameter of lateral recess in the observation group were greater than those in the control group,the differences were statistically significant(P<0.05).Conclusion:TESSYS technique is more effective in the treatment of single segment LSS,which can improve the surgical effect,improve the imaging indexes,accelerate the recovery of patients,reduce the degree of pain,and strengthen the lumbar function.
作者
张文远
千建荣
陈艳
王奇
安志军
ZHANG Wenyuan;QIAN Jianrong;CHEN Yan;WANG Qi;AN Zhijun(Beijing Fengtai Hospital,Beijing 100070,China;不详)
出处
《中外医学研究》
2023年第26期21-25,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
