广西医学2025，Vol.47Issue(2)：207-211,5.DOI:10.11675/j.issn.0253-4304.2025.02.08
单侧双通道内镜辅助下行极外侧入路经椎间孔腰椎融合技术在复发性腰椎间盘突出患者中的应用
Application of extreme transforaminal lumbar interbody fusion technique assisted by unilateral biportal endoscopy to patients with recurrent lumbar disc herniation
梁家铭 1朱彪 2朱承跃 1张伟1
作者信息
- 1. 浙江中医药大学附属杭州市中医院骨伤科,浙江省 杭州市 310012
- 2. 山东省滕州市中心人民医院骨科,山东省滕州市 277500
- 折叠
摘要
Abstract
Objective To investigate the safeness and effectiveness of extreme transforaminal lumbar interbody fusion(ExTLIF)assisted by unilateral biportal endoscopy(UBE)for the treatment of patients with recurrent lumbar disc herniation.Methods The clinical data of 7 patients with recurrent lumbar disc herniation undergoing ExTLIF assisted by UBE were retrospectively analyzed.The states of surgical procedure and postoperative follow-up of patients were recorded.Results All 7 patients successfully completed surgery.The operation duration was 150-245(184.7±34.4)minutes,the operative bleeding volume estimated was 105.0～210.5(157.8±36.5)mL,and 1 patient had transient decrease in extensor hallucis dorsi muscle strength after operation.Patients were followed up for 6-18(11.1±4.4)months after operation.One month after surgery,the Visual Analogue Scale(VAS)score for low back pain decreased from 6.6±0.9 preoperatively to 1.6±0.5,and the VAS score for lower limb pain decreased from 7.0±0.8 preoperatively to 1.1±1.0 among 7 patients.Three patients still had feeling of numbness in lower limbs.Six months after operation,foot numbness of 1 patient was significantly relieved but still slightly numb as compared with before operation,and the numbness of the remaining 2 patients was relieved,and muscle strength of the patient with decreased extensor hallucis dorsi returned to normal.No reoperation or other complications such as postoperative infection occurred during follow-up.Conclusion UBE-assisted ExTLIF for the treatment of patients with recurrent lumbar disc herniation has less trauma in operation,faster recovery,fewer complications,and satisfactory early efficacy.关键词
再次手术/复发性腰椎间盘突出/单侧双通道内镜/极外侧入路经椎间孔腰椎融合技术/临床疗效Key words
Reoperation/Recurrent lumbar disc herniation/Unilateral biportal endoscopy/Extreme transforaminal lumbar interbody fusion/Clinical efficacy分类
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梁家铭,朱彪,朱承跃,张伟..单侧双通道内镜辅助下行极外侧入路经椎间孔腰椎融合技术在复发性腰椎间盘突出患者中的应用[J].广西医学,2025,47(2):207-211,5.
