临床骨科杂志2024,Vol.27Issue(2):171-175,5.DOI:10.3969/j.issn.1008-0287.2024.02.007
导杆可视化椎间孔成形技术治疗腰椎间盘突出症
Guide-rod visualized foraminoplasty in the treatment of lumbar disc herniation
摘要
Abstract
Objective To investigate the clinical effect of guide-rod visualized foraminoplasty in the treatment of lum-bar disc herniation.Methods The 76 patients with lumbar disc herniation treated by percutaneous foraminoplasty nu-cleus pulposus discetomy were divided into guide-rod visualization group(39 cases treated with visualized foramin-oplasty)and TESSYS group(37 cases treated with transforaminal endoscopic spine system),according to different surgical methods.Surgical indexes,pain VAS and ODI were compared between the two groups.Results All patients were followed up for 6~13 months.There was no statistical difference in hospital stay between the two groups(P>0.05).The frequency of intraoperative fluoroscopy and operation time were less(shorter)in the guide-rod visualiza-tion group than those in the TESSYS group(P<0.05).Pain VAS and ODI:at 3 d postoperation and the last follow-up,both groups were decreased than those before surgery(P<0.05);there were no statistical differences in postoper-ative various time-point between the two groups(P>0.05).Conclusions It is a safe and effective foraminoplasty technique for the treatment of lumbar disc herniation,guide-rod visualized foraminoplasty can reduce the frequency of intraoperative fluoroscopy,shorten the operation time,and improve the efficiency and accuracy of foraminoplasty.关键词
腰椎间盘突出症/经皮内镜/导杆可视化椎间孔成形术Key words
lumbar disc herniation/percutaneous endoscopy/guide-rod visualized foraminoplasty分类
医药卫生引用本文复制引用
何成,樊拖迎,徐亚平,双峰,张浩利,李浩..导杆可视化椎间孔成形技术治疗腰椎间盘突出症[J].临床骨科杂志,2024,27(2):171-175,5.基金项目
江西省自然科学基金面上项目(编号:20171BAB205032) (编号:20171BAB205032)
江西省卫健委科技计划基金(编号:202311388) (编号:202311388)