中国内镜杂志2024,Vol.30Issue(4):7-13,7.DOI:10.12235/E20230402
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
Clinical observation on the treatment of single segment cervical spondylotic myelopathy by full endoscopic lamina fenestration discectomy surgery
摘要
Abstract
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.关键词
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Key words
cervical spondylotic myelopathy(CSM)/minimally invasive surgery/full endoscopic lamina fenestration discectomy(Endo-LOVE)/clinical effect/spinal full-endoscope分类
医药卫生引用本文复制引用
卢正操,蒋强,付本升,曹蕊,丁宇..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[J].中国内镜杂志,2024,30(4):7-13,7.基金项目
北京市科技计划项目(No:Z191100006619028) (No:Z191100006619028)