腰椎侧路椎间孔镜微创治疗单节段腰椎间盘突出症的临床疗效被引量：3

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摘要目的:探讨腰椎侧路椎间孔镜(PELD)治疗腰椎间盘突出症的临床疗效。方法 :回顾性分析2015年6月—2016年6月在我科经腰椎侧路椎间孔镜(PELD)治疗的42例单节段腰椎间盘突出症患者。其中男19例,女23例;年龄23~67岁,平均45岁。所有患者均行腰椎动力位片无腰椎不稳状况,行术前术后MRI检查,手术方式采用TESSYS技术。采用Macnab疗效评定标准评定和视觉模拟评分法(VAS法)对患者术前和术后即刻、6个月、1年进行评分,评估腰椎侧路椎间孔镜治疗腰椎间盘突出症的临床疗效。结果:对患者进行(6~12)个月的随访,平均随访8个月,所有患者均获得随访。根据Macnab疗效评定标准评定优33例,良5例,可3例,差1例,术后优良率为90.4%。术前的VAS评分为7.6±1.2,术后即刻的为3.3±1.5,6个月的为2.2±0.9,1年的为1.0±0.9,均显著低于术前(P<0.05),差异有统计学意义。结论:腰椎侧路椎间孔镜微创治疗腰椎间盘突出症具有创伤小、住院时间短等多方面的微创优越性,是治疗单节段腰椎间盘突出症的一种安全、有效的方法。

作者暴海洋朱艳秋陈宾安永胜杨佳宁常成兵苗伟刘欣哲宋有鑫

机构地区承德医学院附属医院脊柱外二科

出处《影像研究与医学应用》 2018年第8期245-246,共2页 Journal of Imaging Research and Medical Applications

关键词腰椎间盘突出症单节段椎间孔镜微创髓核摘除术

分类号 R687.3 [医药卫生—骨科学]

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参考文献2

1李嵩鹏,白一冰,李义凯.侧后路经皮脊柱内镜治疗腰椎间盘突出症的应用进展[J].颈腰痛杂志,2014,35(3):217-220. 被引量：28
2徐红艳,武星,孙秀明,刘传圣.椎间孔镜在腰椎间盘突出症等疾病治疗中的应用[J].中国疼痛医学杂志,2017,23(3):215-217. 被引量：22

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