中国内镜杂志2026，Vol.32Issue(3)：28-36,9.DOI:10.12235/E20250050
单通道非同轴脊柱内镜经椎间孔外入路(椎板外切迹)治疗极外侧椎间盘突出症的临床疗效观察
Observation on the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery via extraforaminal approach(external lamina notch)in the treatment of far lateral lumbar disc herniation
牛绕林 1陈谷才 1钱伟 1王源汉 1王丽霞2
作者信息
- 1. 曲靖市第二人民医院 脊柱外科,云南 曲靖 655000
- 2. 曲靖市第二人民医院 中医科,云南 曲靖 655000
- 折叠
摘要
Abstract
Objective To evaluate the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery via extraforaminal approach(external lamina notch)for treating far lateral lumbar disc herniation(FLLDH).Methods A retrospective analysis was conducted on 70 patients with FLLDH who underwent uni-portal non-coaxial spinal endoscopic surgery via the extraforaminal approach(external lamina notch)from May 2022 to May 2024.Clinical outcomes were evaluated by assessing lower back and leg pain,lumbar spine function,and overall therapeutic efficacy before and after the operation.Results Compared with before the operation,at 3 days and 3 months after the operation,the visual analogue scale(VAS)scores for the lower limbs,the VAS scores for the waist,the Oswestry disability index(ODI),the numerical rating scale(NRS)scores,and the Roland-Morris dysfunction questionnaire(RMDQ)scores of the patients significantly decreased,while the Japanese Orthopaedic Association(JOA)score significantly increased.The differences were statistically significant(P<0.05);according to the modified MacNab scoring criteria,the excellent and good rates at the last follow-up were 94.28%.Conclusion The uni-portal non-coaxial spinal endoscopic surgery through the extraforaminal approach(external lamina notch)for treating FLLDH can significantly alleviate patients'lower back and leg pain as well as their lower limb function.It has the advantages of small trauma,easy operation,high safety and good efficacy,and is worthy of clinical promotion and application.关键词
极外侧椎间盘突出症(FLLDH)/单通道非同轴内镜手术/椎间孔外入路(椎板外切迹)/脊柱微创手术/临床疗效/回顾性分析Key words
far lateral lumbar disc herniation(FLLDH)/uni-portal non-coaxial spinal endoscopic surgery/extraforaminal approach(external lamina notch)/minimally invasive spine surgery/clinical efficacy/retrospective analysis分类
医药卫生引用本文复制引用
牛绕林,陈谷才,钱伟,王源汉,王丽霞..单通道非同轴脊柱内镜经椎间孔外入路(椎板外切迹)治疗极外侧椎间盘突出症的临床疗效观察[J].中国内镜杂志,2026,32(3):28-36,9.
