中国内镜杂志2026，Vol.32Issue(4)：78-82,5.DOI:10.12235/E20250018
全可视内镜下内层骨板预保留法在胸椎椎管狭窄减压术中的应用及安全性评价
Application and safety evaluation of the pre-preservation method of inner bone plate under full visual endoscopy in decompression of thoracic spinal stenosis
许梅辛 1周国兴 1冯瑶 1孙艳娟 1宋智菲 1李雪弘1
作者信息
- 1. 黑龙江中医药大学附属第一医院 骨伤传统治疗部,黑龙江 哈尔滨 150000
- 折叠
摘要
Abstract
Objective To investigate the application and safety of the inner bone plate preservation method in the decompression of thoracic spinal stenosis under full visual endoscopy.Methods 51 patients diagnosed with single-segment thoracic spinal canal stenosis caused by thoracic ossification of ligamentum flavum(TOLF)from January 2018 to January 2024 and undergoing full visual endoscopic decompression were selected.All patients underwent intraoperative resection of the ossified ligamentum flavum using the interlaminar approach and the pre-preservation method of the inner bone plate.The thoracic vertebra function was evaluated using the Japanese Orthopaedic Association(JOA)score and the Oswestry disability index(ODI)at 3 days,1 month and 3 months after the operation.The visual analogue scale(VAS)score was used to evaluate the recovery of patients'symptoms.Observe the improvement of the patient's symptoms.Results The surgical process of the enrolled patients went smoothly,and no complications such as spinal cord injury symptoms occurred after the operation.The average operation time was(94.3±10.4)minutes,the average blood loss was(43.9±8.6)mL,and the total effective rate of treatment was 100.00％.3 months after the operation,the JOA score was(8.1±1.4),which was significantly higher than that before the operation(3.9±2.7),and the difference was statistically significant(P=0.014).The VAS score 3 days after the operation was(3.7±2.1),which was significantly lower than that before the operation(6.4±1.9),and the difference was statistically significant(P=0.020).The ODI scores at 3 days and 1 month after the operation decreased from(65.46±16.37)％before the operation to(39.19±14.33)％and(30.76±11.51)％,respectively,and the difference was statistically significant(P=0.003).Conclusion The pre-preservation of the inner bone plate under full visual endoscopy for thoracic spinal stenosis caused by TOLF is a safe,reliable and effective surgical method.It is worthy of clinical promotion and application.关键词
全可视内镜/内层骨板/预保留/胸椎椎管狭窄减压/安全性Key words
full visual endoscopy/inner bone plate/pre-retention/thoracic spinal stenosis decompression/security分类
医药卫生引用本文复制引用
许梅辛,周国兴,冯瑶,孙艳娟,宋智菲,李雪弘..全可视内镜下内层骨板预保留法在胸椎椎管狭窄减压术中的应用及安全性评价[J].中国内镜杂志,2026,32(4):78-82,5.
