[1]徐峰 李涛△ 徐彬 谭林英.经皮椎间孔镜治疗极外侧型腰椎间盘突出症的近期疗效[J].中国中医骨伤科杂志,2017,25(11):39-42.
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经皮椎间孔镜治疗极外侧型腰椎间盘突出症的近期疗效()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年11期
页码:
39-42
栏目:
临床报道
出版日期:
2017-11-15

文章信息/Info

文章编号:
1005-0205(2017)11-0039-04
作者:
徐峰1 李涛2△ 徐彬2 谭林英2
1解放军武汉总医院(武汉,430070) 2湖北中医药大学研究生院 通信作者 E-mail:767098776@qq.com
关键词:
椎间孔镜 极外侧型腰椎间盘突出症 临床疗效
分类号:
R681.5
文献标志码:
B
摘要:
目的:评价运用经皮椎间孔镜治疗极外侧型腰椎间盘突出症(FLLDH)的可行性及近期疗效。方法:回顾性分析2010年1月至2016年1月于本院应用经皮椎间孔镜治疗并获得随访的25例FLLDH患者的临床资料,其中椎间孔内型9例,椎间孔外型11例,混合型5例; 男19例,女6例; 年龄31~65岁,平均45.3岁。分别于术前、出院时、术后1个月及末次随访采用视觉模拟评分法(VAS)、功能指数评分(ODI)评估手术疗效,末次随访改良MacNab标准评估患者的疗效。结果:手术时间45~105 min,平均60 min; 出血量5~25 mL,平均出血量约10 mL; 住院时间4~14 d,平均6 d.术中无神经根损伤等重大并发症发生。所有患者随访9~24个月,平均16.3个月。术前腿痛VAS评分为9.10±2.03,出院时VAS评分为3.11±1.23,术后1个月VAS评分为2.63±0.71,末次随访VAS评分为2.18±0.91分; 术前ODI评分为71.30±21.73分,出院时为29.53±10.62,术后1个月为18.65±9.38,末次随访评分为10.27±6.34分,术前与术后比较差异均有统计学意义(P<0.01)。改良MacNab标准评价临床疗效优17例,良6例,可2例。结论:经皮椎间孔镜治疗FLLDH近期疗效良好,具有创伤小、术中出血少、手术时间短、恢复快、住院时间短、术后并发症少等优点。

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备注/Memo

备注/Memo:
基金项目:湖北省自然科学基金项目(2014CFB473)
更新日期/Last Update: 1900-01-01