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经椎板间入路椎间孔镜手术治疗腰椎间盘突出症效果

张磊 沈娜娜 王超 孙月荣 相宏飞 张国庆

青岛大学医学院学报2017,Vol.53Issue(1):43-45,48,4.
青岛大学医学院学报2017,Vol.53Issue(1):43-45,48,4.DOI:10.13361/j.qdyxy.201701013

经椎板间入路椎间孔镜手术治疗腰椎间盘突出症效果

TRANSFORAMINAL ENDOSCOPIC RESECTION IN THE TREATMENT OF PROLAPSE OF LUMBAR INTERVERTEBRAL DISC

张磊 1沈娜娜 2王超 1孙月荣 1相宏飞 1张国庆1

作者信息

  • 1. 青岛大学附属医院骨科,山东青岛266100
  • 2. 青岛大学附属医院康复医学科,山东青岛266100
  • 折叠

摘要

Abstract

Objective To evaluate the clinical effectiveness of transforaminal endoscopic surgery (TES) for prolapse of lumbar intervertebral disc (PLID).Methods A retrospective analysis was done in 95 patients with PLID treated in our hospital-from October 2014 to October 2016-adopting TES.The patients were followed up from two to 24 months,with an average of 10.3 months.Employing Visual Analog Scale (VAS) score,the situation of lumbocrural pain was evaluated;applying Oswestry Disability Index (ODI),the lumbar function was evaluated.The above evaluations were done before surgery,one month after sur gery and at the last follow-up.The efficacy was assessed using modified MacNab criteria at the last follow-up.Results The differences in VAS and ODI scores among the 95 patients-at pre-operation,one month after surgery and at the last follow-up-were statistically significant (x2 =204.186,198.047;P < 0.05).According to modified MacNab criteria at the last follow up,the results were excellent in 18 cases,good in 71 cases,fair in four cases,and poor in two,the excellent rate was 93.7%.Conclusion Transforaminal endoscopic surgery for prolapse of lumbar intervertebral disc can get quick alleviation of symptoms and satisfactory clinical efficacy.

关键词

椎间盘移位/外科手术,微创性/内窥镜检查/治疗结果

Key words

intervertebral disc/displacement surgical procedures, minimally invasive/endoscopy/treatment outcome

分类

医药卫生

引用本文复制引用

张磊,沈娜娜,王超,孙月荣,相宏飞,张国庆..经椎板间入路椎间孔镜手术治疗腰椎间盘突出症效果[J].青岛大学医学院学报,2017,53(1):43-45,48,4.

基金项目

国家自然科学基金面上项目(81371998 ()

81672200) ()

青岛大学医学院学报

OACSTPCD

1672-4488

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