摘要
目的观察经皮椎间孔镜（PTED）髓核摘除术治疗腰椎间盘突出症的临床疗效。方法选取2014年12月至2016年6月采用经皮椎间孔镜结合TESSYS技术治疗腰椎间盘突出症患者127例；年龄26～72岁，平均43．6岁。应用疼痛视觉模拟评分（VAS评分）、Oswestry功能障碍指数（ODI）和改良MacNab标准评价临床疗效。结果术后随访6～12个月，术后各期腰腿痛VAS评分、ODI较术前均明显降低（P〈0．05）；末次随访，改良MacNab标准评价疗效优良率为88.98％。结论经皮椎间孔镜髓核摘除术是治疗腰椎间盘突出症较为安全有效方法，具有创伤小，并发症少，术后恢复快，手术效果优良等特点。
Objective To investigate the clinical efficacy of percutaneous transforaminal endoscopic discectomy on lumbar disc herniation. Methods From December 2014 to June 2016, 127 patients with lumbar disc herniation were selected and treated with percutaneous transforaminal endoscopic discectomy combined with TESSYS technique. The age range is at the age of 26-72, with an average age of 43.6.The visual analogue scale （ VAS ） , Oswestry disability index （ ODI ） and modified MacNab criteria were used to evaluate the clinical efficacy. Results The patients were followed up for 6~12 months, postoperative low back pain VAS score of different periods and ODI were significandy lower than those before operation （ all P〈0.01 ） . In the last follow-up, the improved MacNab standard had a good rate of 88.98% （ 113/127 ） . Conclusion Percutaneous discectomy is a safe and effective new technique for the treatment of lumbar disc herniation. It has the advantages of less trauma, less complications, fast postoperative recovery and good surgical results.
出处
《浙江临床医学》
2018年第3期497-498,共2页
Zhejiang Clinical Medical Journal
关键词
椎间孔镜
腰椎间盘突出症
疗效
Percutaneous transforaminal endoscopic discectomy Lumbar disc herniation Therapeutic effect
