中国骨伤2018，Vol.31Issue(4)：317-321,5.DOI:10.3969/j.issn.1003-0034.2018.04.005
椎间孔镜BEIS技术治疗老年腰椎侧隐窝狭窄症
Application of broad easy immediate surgery in percutaneous transforaminal endoscopic technology for lumbar lateral recess stenosis in the elderly
张世民 1吴冠男 1靳蛟 1刘昱彰 1黎作旭 1张兆杰 1马明 1种涛 1章永东1
作者信息
- 1. 中国中医科学院望京医院脊柱一科 100102北京
- 折叠
摘要
Abstract
Objective:To explore the safety and effectiveness of percutaneous transforaminal endoscopic BEIS technology for lumbar lateral recess stenosis in the elderly.Methods:From February 2014 to May 2016,21 patients with lumbar lateral recess stenosis in elderly were treated with percutaneous endoscopic BEIS.There were 13 males and 8 females,aged from 70 to 85 years old with an average of 74.3 years.Preoperative,1 and 12 months postoperative visual analogue scale (VAS) scores and Oswestry Disability Index (ODI) were statistically analyzed.MacNab was used to assess the clinical effects.Results:All the operations were successful.The time ranged from 90 to 130 min with an average of 110 min.All the patients were followed up for 12 to 38 months with an average of 18 months.Preoperative,1 and 12 months postoperative VAS scores were 8.47±1.23,1.78±0.72,0.68±0.32,and ODI scores were 32.48±10.03,19.53±3.55,and 5.15±1.02,respectively.Postoperative scores of VAS and ODI were obviously improved (P＜0.05).According to modified MacNab standard to evaluate the clinical effects,14 cases obtained excellent results,5 good,2 fair.Lower limb paresthesia occurred in 1 case,and the condition was restored at 3 months postoperatively with conservative treatment.One patient was complicated with emphysema before operation secondary to pulmonary infection,and was effectively controlled with regulate antibiotic therapy.No infection of vertebral body or intervertebral space,no injuries of blood vessels or nerve root,no tear of dura,or the leakage of cerebrospinal fluid were found.Conclusion:Percutaneous transforaminal endoscopic BEIS is a safe and effective method for lumbar lateral recess stenosis in the elderly.关键词
经皮椎间孔镜手术/腰椎侧隐窝狭窄/老年人/椎间孔入路Key words
Percutaneous transforaminal endoscopic discectomy/Lumbar lateral recess stenosis/Elderly/Transforaminal approach引用本文复制引用
张世民,吴冠男,靳蛟,刘昱彰,黎作旭,张兆杰,马明,种涛,章永东..椎间孔镜BEIS技术治疗老年腰椎侧隐窝狭窄症[J].中国骨伤,2018,31(4):317-321,5.
