中国内镜杂志2012，Vol.18Issue(2)：184-187,4.
经皮椎间孔镜下腰椎间盘切除术治疗下腰痛
Percutaneous endoscopic Iumbar discectomy in the treatment of low back pain
陈远明 1王建 2周跃 2陈锋 1周先明 1黄民锋1
作者信息
- 1. 广西中医学院附属瑞康医院骨脊柱一科,广西南宁530011
- 2. 第三军医大学附属新桥医院骨科,重庆400037
- 折叠
摘要
Abstract
[Objective] To evaluate the feasibility and efficacy of treatment for low back pain with percutaneous endoscopic lumbar discectomy (PELD). [ Method ] From November 2008~December 2009, 79 patients with low back pain were treated with PELD, which included 48 males and 31 females with average age of 49. 1 years (range, from 16 to 81 years). There were ordinary lumbar disc herniation in 67 cases (44 cases with mild for aminal stenosis), 6 cases of far later al lumbar disc herniation, discogenic low back pain in 6 cases. Retrospective analysis of clinical results was performed. The clinical outcomes were determined using a modified Macnab criteria and patient satisfaction. [Result] The average operative time was 50 minutes ( range, 30~100min), with a mean postoperative hospital stay of 5.6 days ( range, 2~30 days). There were neither complications related to the surgery, nor any conversion to open surgery. 79cases were followed up 12-25 months (average 19.3 months). The Visual analog scale (VAS) scores of preoperation, 1 week after operation and last follow-up were (8.75±0.25), (4.12±0.51), and (3.86±0.43) respectively (P <0.01). One patient had an increased pain in the final follow up compared with preoperative. Excellent and good rate was70.9%, satisfaction rate was 63.3%. [Conclusion] PELD can achieve satisfactory short-term clinicalresults in treating low back pain and is a safe and efficacious minimally invasive surgical technique. Appropriate case selection is very important.关键词
下腰痛/经皮/椎间孔镜/椎间盘切除术Key words
low back pain/ percutem/ endoscopy/ discectomy分类
医药卫生引用本文复制引用
陈远明,王建,周跃,陈锋,周先明,黄民锋..经皮椎间孔镜下腰椎间盘切除术治疗下腰痛[J].中国内镜杂志,2012,18(2):184-187,4.
