全内镜下椎板开窗术治疗单节段脊髓型颈椎病的临床疗效OACSTPCD
Clinical observation on the treatment of single segment cervical spondylotic myelopathy by full endoscopic lamina fenestration discectomy surgery
目的 观察全内镜下椎板开窗术(Endo-LOVE)治疗单节段脊髓型颈椎病(CSM)的临床疗效.方法 回顾性分析2021年1月-2021年12月接受Endo-LOVE的26例单节段CSM患者的临床资料.观察术前、术后3 d、术后6个月和术后1年随访时的颈椎功能障碍指数(NDI)和日本骨科学会(JOA)评分;术后1年,根据脊髓功能改善率评价临床疗效,并行颈椎动力位X线检查,评价手术节段的稳定性.结果 26例患者手术均顺利完成,无严重并发症发生,术后症状均明显改善;术后均随访12～18个月,术后各时间点JOA评分和NDI与术前比较,差异均有统计学意义(P<0.05),术后1年行颈椎动力位X线检查,未见手术节段失稳病例,术后1年评价疗效,优16例,良7例,可3例,优良率为88.46％.结论 Endo-LOVE治疗单节段CSM安全、有效、微创,短期随访疗效满意,具有一定的临床实用价值.
Objective To observe the clinical effect of full endoscopic lamina fenestration discectomy(Endo-LOVE)surgery in the treatment of single segment cervical spondylotic myelopathy.Methods The retrospective study was conducted on 26 cases with single segment cervical spondylotic myelopathy treated by Endo-LOVE surgery.Neck disability index(NDI)and Japanese Orthopaedic Association(JOA)score were used to evaluate the clinical effect at preoperative,postoperative 3 days,postoperative 6 months,and 1-year follow-up.The stability of surgical segment were observed by X-ray examination 1 year postoperative.Results 26 cases of Endo-LOVE surgery were all smoothly accomplished.The clinical symptoms of all these cases were improved;26 cases were followed up from 12～18 months.There were significant differences between preoperative and postoperative on JOA score and NDI(P＜0.05).One year after surgery,cervical dynamic X-ray examination was performed,and no cases of surgical segment instability were found.The efficacy was evaluated one year after surgery,with 16 cases excellent,7 cases good,and 3 cases fair,with an excellent and good rate of 88.46%.Conclusion Endo-LOVE surgery is safe,effective and minimally invasive in the treatment of single segment cervical spondylotic myelopathy.
卢正操;蒋强;付本升;曹蕊;丁宇
锦州医科大学,辽宁 锦州 121000解放军总医院第六医学中心 中医骨伤科,北京 100048
临床医学
脊髓型颈椎病(CSM)微创手术全内镜下椎板开窗术(Endo-LOVE)临床疗效全脊柱内镜
cervical spondylotic myelopathy(CSM)minimally invasive surgeryfull endoscopic lamina fenestration discectomy(Endo-LOVE)clinical effectspinal full-endoscope
《中国内镜杂志》 2024 (004)
7-13 / 7
北京市科技计划项目(No:Z191100006619028)
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