靶向定位TESSYS椎间孔镜技术治疗腰椎间盘突出症的效果分析

发布时间：2018-02-04 03:26

本文关键词： 腰椎间盘突出症椎间孔镜微创临床效果　出处：《中国矫形外科杂志》2017年15期 　论文类型：期刊论文

【摘要】：[目的]探究靶向定位经椎间孔脊柱内镜系统(transforaminal endoscopic spine system,TESSYS)治疗腰椎间盘突出症的临床效果。[方法]随机选取本院骨科于2012年1月~2015年1月收治的60例腰椎间盘突出症患者,在院期间给予靶向定位TESSYS下手术治疗,术后随访9个月,现对其一般资料及治疗结果进行回顾性分析。[结果]所有患者成功完成手术,平均手术时间(72.3±37.8)min,平均术中出血量(10.6±5.1)ml,无1例出现感染、重要神经血管损伤以及硬脊膜破裂等手术相关并发症。与治疗前相比,术后各随访时间点的视觉疼痛模拟评分(visual analogue scale,VAS)以及功能障碍指数(Oswestry disability index,ODI)均明显下降,日本骨科学会(Japanese Orthopaedic Association,JOA)评分均明显升高,差异有统计学意义(P0.05)。至术后9个月时,根据改良Mac Nab评价标准,患者的优良率为86.67%(52例)。[结论]靶向定位TESSYS下手术治疗腰椎间盘突出症效果显著且安全可靠,符合现代医学微创操作的理念,值得临床推广。
[Abstract]:[Objective] to explore the transforaminal endoscopic spine system through intervertebral foraminal endoscopic spine system. The clinical effect of TESSYS in the treatment of lumbar disc herniation. [Methods A total of 60 patients with lumbar disc herniation were selected randomly from January 2012 to January 2015 in orthopedic department of our hospital. The patients were treated with targeted TESSYS during the hospital. After 9 months follow-up, the general data and treatment results were analyzed retrospectively. [Results: all patients successfully completed the operation, the average operation time was 72.3 卤37.8 minutes, the average intraoperative bleeding volume was 10.6 卤5.1 ml, no infection occurred. Important neurovascular injuries and surgical complications such as dural rupture were compared with those before treatment. Visual analogue scale was evaluated at different time points after operation. Vas and Oswestry disability index (Oswestry disability) decreased significantly. The scores of Japanese Orthopaedic Association (JOAA) in Japanese Orthopedic Society were significantly increased. By 9 months after operation, according to the modified Mac Nab evaluation criteria, the excellent and good rate of the patients was 86.67 and 52 cases. [Conclusion: the surgical treatment of lumbar disc herniation under targeted TESSYS is effective, safe and reliable, which is in line with the concept of modern medical minimally invasive operation and is worth popularizing in clinical practice.
【作者单位】：盐城市第一人民医院;
【分类号】：R687.3
【正文快照】： 腰椎间盘突出症(lumbar disc herniation,LDH)是骨科常见病、多发病[1]。以往对于严重LDH的手术治疗,多为后路开放性操作,对周围组织损伤大,且术后并发症发生率较高[2]。随着医疗技术及器械的不断发展,微创手术逐渐成为主流,目前大部分医院已将靶向定位TESSYS下摘除变性髓核作

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