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经皮内镜下前路颈椎间盘髓核摘除术近期疗效

聂治军 张银刚 常彦海

临床骨科杂志2018,Vol.21Issue(1):20-23,4.
临床骨科杂志2018,Vol.21Issue(1):20-23,4.DOI:10.3969/j.issn.1008-0287.2018.01.007

经皮内镜下前路颈椎间盘髓核摘除术近期疗效

Short-term clinical efficacy of anterior percutaneous endoscopic cervical discectomy

聂治军 1张银刚 2常彦海1

作者信息

  • 1. 陕西省人民医院骨科,陕西 西安 710068
  • 2. 西安交通大学医学院第一附属医院骨科,陕西 西安710061
  • 折叠

摘要

Abstract

Objective To observe the short-term clinical curative effect of anterior percutaneous endoscopic cervical discectomy (APECD) in the treatment of cervical disc herniation. Methods APECD was performed in 13 patients with cervical disc herniation.VAS and JOA scores before operation and at 1 week,1,3,6 months after operation were compared. The clinical therapeutic effect was evaluated by the modified MacNab standard at the last follow-up. Re-sults The operative time was 40~70 min,blood loss was 10~20 ml, postoperative hospitalization time was 4~7 d.No serious complications were noted,such as neurological injury,dural sac rupture,tracheal or esophageal lesions, etc. All patients were followed up for 6~8 months. The VAS and JOA scores were significantly improved as com-pared with those at the preoperation,the differences were statistically significant(P<0.05).In terms of the modified MacNab at the last follow-up:excellent in 9 cases,good 3 cases,and fair 1. Conclusions APECD is safe and ef-fective minimally invasive surgery to treat cervical disc herniation. The short-term curative effect is reliable.

关键词

经皮内镜下椎间盘切除术/颈椎间盘突出症

Key words

percutaneous endoscopic discectomy/cervical disc herniation

分类

医药卫生

引用本文复制引用

聂治军,张银刚,常彦海..经皮内镜下前路颈椎间盘髓核摘除术近期疗效[J].临床骨科杂志,2018,21(1):20-23,4.

基金项目

国家自然科学基金项目(编号:81371987) (编号:81371987)

临床骨科杂志

OACSTPCD

1008-0287

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