临床骨科杂志2024，Vol.27Issue(6)：773-775,3.DOI:10.3969/j.issn.1008-0287.2024.06.004
靶向引导下全可视化内镜椎间孔成形治疗腰椎管狭窄
Full visualization endoscopic foraminoplasty for treatment of lumbar spinal stenosis under targeted guidance
吴亚鹏 1王达义 1尚晖 1郭晓鹏 1郭振鹏 1杨棋1
作者信息
- 1. 湖北医药学院附属太和医院脊柱外科,湖北 十堰 442000
- 折叠
摘要
Abstract
Objective To investigate the efficacy of lumbar spinal stenosis treated with full visualization endoscopic foraminoplasty under targeted guidance.Methods The 68 patients with lumbar spinal stenoses were treated by full visualization endoscopic foraminoplasty under targeted guidance.The operation conditions were recorded.The pain VAS was used to assess the degree of low back pain and leg pain,and lumbar ODI was used to evaluate the lumbar function.The curative effect was evaluated by modified MacNab standard.Results All patients were followed up for 12～25 months.The operation time was 35～65(43.5±10.2)min;the intraoperative fluoroscopy frequency was 4～8(5.3±1.3)times;the length of hospital stay was 2～7(3.3±0.8)d.At 1 week,3 months and final follow-up,the VAS of low back pain and leg pain,and ODI were improved than the preoperation(P＜0.05),there were no statistical differences at various time points.At the final follow-up,according to the modified MacNab evaluation criterion,38 cases were excellent,25 good,5 fair,and the excellent-good rate was 92.6%.Conclusions The treatment of lumbar spinal stenosis with full visualization endoscopic foraminoplasty under targeted guidance can relieve the pain and im-prove function,with satisfactory efficacy.关键词
腰椎管狭窄/脊柱内镜/可视化/微创Key words
lumbar spinal stenosis/spinal endoscopy/visualization/minimally invasive分类
医药卫生引用本文复制引用
吴亚鹏,王达义,尚晖,郭晓鹏,郭振鹏,杨棋..靶向引导下全可视化内镜椎间孔成形治疗腰椎管狭窄[J].临床骨科杂志,2024,27(6):773-775,3.
