经皮椎间孔镜下选择性减压治疗老年性腰椎管狭窄症的价值被引量：14

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摘要目的评估经皮椎间孔镜下选择性减压治疗老年性腰椎管狭窄症的价值。方法选取老年性腰椎管狭窄症患者80例,随机分为观察组及对照组,每组40例。观察组采用经皮椎间孔镜下选择性减压治疗,对照组采用常规手术治疗。比较两组患者术中情况,术后VAS疼痛评分及Oswestry功能障碍指数(ODI)。结果观察组术中出血量、手术时间、住院时间分别为(12.15±5.26)ml、(62.37±15.26)min、(4.31±1.25)d,对照组分别为(182.63±15.31)ml、(91.48±25.63)min、(9.46±3.58)d,差异有统计学意义(P<0.05)。术后72h,观察组腰腿VAS疼痛评分低于对照组[(0.53±0.32)分vs.(3.69±1.06)分](P<0.05)。术后6个月,观察组患者ODI低于对照组(11.3±2.7vs.45.7±3.1)(P<0.05)。结论经皮椎间孔镜下选择性减压治疗老年性腰椎管狭窄症,手术时间短,能明显减轻疼痛,改善腰腿功能,临床效果好。

作者王棕逸王铠沈绍勇杨惠林刘凯

机构地区苏州大学附属第一医院骨科泰州市中医院骨科

出处《江苏医药》 CAS 2017年第8期597-598,共2页 Jiangsu Medical Journal

关键词腰椎管狭窄症经皮椎间孔镜

分类号 R687 [医药卫生—骨科学]

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