文章摘要
蒋杰,张保亮,肖瑞法,等.全可视化脊柱内镜技术治疗极外侧型腰椎间盘突出症的疗效分析.骨科,2022,13(6): 488-491.
全可视化脊柱内镜技术治疗极外侧型腰椎间盘突出症的疗效分析
Clinical Analysis of Full-Endoscopic for Treating Far Lateral Lumbar Disc Herniation
投稿时间:2022-05-11  
DOI:10.3969/j.issn.1674-8573.2022.06.002
中文关键词: 椎弓根  脊柱内镜  极外侧  椎间盘突出
英文关键词: Pedicle  Endoscopic  Far lateral  Disc herniation
基金项目:永州市科技创新及应用研究项目【永财企指(2017)15号】
作者单位E-mail
蒋杰 永州市中心医院冷水滩院区脊柱外科湖南永州 425001  
张保亮 永州市中心医院冷水滩院区脊柱外科湖南永州 425001 35382048@qq.com 
肖瑞法 永州市中心医院冷水滩院区脊柱外科湖南永州 425001  
张勇 永州市中心医院冷水滩院区脊柱外科湖南永州 425001  
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中文摘要:
      目的 探讨全可视化脊柱内镜技术治疗极外侧型腰椎间盘突出症(far lateral lumbar disc herniation,FLLDH)的临床效果。方法 2018年5月至2020年6月,我院采用经椎弓根上缘穿刺全可视化经皮脊柱内镜技术治疗FLLDH病人39例。男21例,女18例,年龄为52~72岁,平均60.5岁。采用疼痛视觉模拟量表(VAS)评分、Oswestry功能障碍指数(ODI)、日本骨科协会(JOA)评分评估临床疗效。结果 39例病人均顺利完成手术。伤口均甲级愈合,无伤口感染、神经根损伤、脑脊液漏等并发症发生。所有病人均获得随访,随访时间为18~40个月,平均28.8个月。所有病人术后1 d、3个月、12个月VAS评分、ODI指数及JOA评分与术前比较,差异均有统计学意义(P<0.05)。结论 全可视化脊柱内镜技术治疗FLLDH临床疗效确切,安全性高,值得临床推广。
英文摘要:
      Objective To investigate the efficacy of full endoscopy for far lateral lumbar disc herniation (FLLDH). Methods A total of 39 patients with FLLDH treated by full-endoscopic puncture through the upper edge of the pedicle at our hospital from May 2018 to June 2020 were included. There were 21 males and 18 females, aged 52-72 years, with an average age of 60.5 years. The visual analog scale (VAS), the Oswestry Disability Index (ODI), and the Japanese Orthopedic Association (JOA) scores were used to evaluate the clinical effects. Results All 39 patients underwent the surgery successfully. All of them healed well without any wound infection, nerve root injury, cerebrospinal fluid fistula or other complications. All patients were followed up for 18-40 months, with an average of 28.8 months. The postoperative 1 day, 3 months and 12 months VAS score, ODI index and JOA score of all patients were compared with preoperative. The results showed that there were significant differences (P<0.05). Conclusion It is safe and effective to treat FLLDH by full-endoscopic surgery, and it is worthy of clinical promotion.
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