| 蔡进奎,李章华,方卫军,等.经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效分析[J].安徽医药,2018,22(1):46-49. |
| 经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效分析 |
| The clinical efficacy in the treatment of lumbar disc herniation via percutaneous transforaminal endoscopic discectomy |
| 投稿时间：2016-08-22 |
| DOI： |
| 中文关键词: 经皮椎间孔镜技术 腰椎间盘突出症 微创 临床疗效 |
| 英文关键词: percutaneous transforaminal endoscopic discectomy lumbar discherniation minimal invasive curative effect |
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| 中文摘要: |
| 目的 观察经皮椎间孔镜技术(PTED)治疗腰椎间盘突出症(LDH)的临床疗效,分析PTED的优势,总结临床经验。方法 回顾性分析2014年1月—2016年3月应用PTED治疗单一节段LDH患者83例,采用国际通用疼痛模拟评分(VAS)、记录手术前后Oswestry功能障碍分值(ODI)和运用Macnab标准记录末次随访疗效,并如实记录手术并发症情况。结果 83例患者手术均进行顺利,术前患者腰疼VAS得分、下肢疼痛VAS得分、ODI得分分别与术后比较,差异有统计学意义(P<0.05)；末次随访运用改良Macnab疗效评分标准分级:优41例,良31例,可8例,差3例,总体优良率为86.75%。结论PTED手术具有创伤小、术中患者出血少、术后患者恢复快、手术并发症少等优点,是治疗LDH安全、有效的方法。但学习时间较长、难度大,长远疗效有待进一步探讨和随访。 |
| 英文摘要: |
| Objective To observe the clinical efficacy in the treatment on lumbar disc herniation via percutaneous transforaminal endoscopic discectomy(PTED) and analyze the predominance of PTED technology and summarize the clinical experience. Methods We retrospectively analyzed 83 cases with single segmental lumbar disc disease treated between January 2014 and March 2016 in Tongren Hospital of Wuhan University,using visual analog pain score (VAS) and Oswestry disability index (ODI) and Macnab criteria to evaluate curative effect and recording the postoperative complications. Results All of 83 patients successfully underwent operation.The scores of preoperative low back pain VAS,lower limb VAS and ODI scores were compared with postoperative data,and the statistical analysis was significant (P<0.05).41 patients had excellent outcomes,31 patients had good outcomes,8 patients had fair outcomes,and 3 patients had poor outcomes,according to the Improved Macnab criteria.Seventy-two of 83 patients had excellent or good outcomes,for an overall success rate of 86.75%. Conclusions The PTED had the advantages of less injury in patients,less bleeding in the operation,faster recovery of postoperative patients as well as less complications of surgical complications.Therefore,it was a safe and effective treatment alternative for lumbar disc herniation.But due to the steep learning curve of PTED,its forward curative effect needs further research. |
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