[1]关月红,吴健△,徐斌,等.可视椎间孔镜技术治疗高髂嵴复发性腰5骶1腰椎间盘突出症的临床疗效观察[J].中国中医骨伤科杂志,2025,33(03):68-71.[doi:1005-0205(2025)03-0068-04]
　GUAN Yuehong,WU Jian,XU Bin,et al.Clinical Efficacy of Visual(I See)Intervertebral Foramen Endoscopy Technique in Treating Recurrent L5S1 Lumbar Disc Herniation in High Iliac Crest Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(03):68-71.[doi:1005-0205(2025)03-0068-04]
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可视椎间孔镜技术治疗高髂嵴复发性腰5骶1腰椎间盘突出症的临床疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第33卷
期数:
2025年03期
页码:
68-71
栏目:
临床报道
出版日期:
2025-03-15

文章信息/Info

Title:
Clinical Efficacy of Visual(I See)Intervertebral Foramen Endoscopy Technique in Treating Recurrent L5S1 Lumbar Disc Herniation in High Iliac Crest Patients
文章编号:
10.20085/j.cnki.issn1005-0205.250312
作者:
关月红1;  吴健1△;  徐斌1;  唐健1;  张英1;  何颖琦1
1南通大学附属常熟医院(江苏 常熟,215500)
Author(s):
GUAN Yuehong1;  WU Jian1△;  XU Bin1;  TANG Jian1;  ZHANG Ying1;  HE Yingqi1
1Affiliated Changshu Hospital of Nantong University,Changshu 215500,Jiangsu China.
关键词:
椎间盘突出;  复发;  高髂嵴;  外科手术;  椎间孔镜
Keywords:
lumbar disc herniation;  recurrent;  high iliac crest;  surgical pmcedures; endoscopic
分类号:
R681.5
DOI:
1005-0205(2025)03-0068-04
文献标志码:
B
摘要:
目的:探讨可视(I See)椎间孔镜技术治疗高髂嵴复发性L5S1腰椎间盘突出症的临床疗效。方法:选取2016年5月至2023年5月收治的后路小切口髓核摘除术后复发的高髂嵴L5S1腰椎间盘突出症患者18例,可视椎间孔镜技术进行侧路经椎间孔椎管减压髓核摘除术,术后随访12个月以上,评价患者的手术情况和术后疗效。结果:与术前相比,患者术后3 d、3 个月和末次随访时的VAS评分显著低于术前(P<0.05),JOA 评分显著高于术前(P<0.05),差异均有统计学意义。采用MacNab 标准评价疗效,优15例,良3例。结论:可视椎间孔镜技术治疗高髂嵴复发型L5S1腰椎间盘突出症的临床效果良好,术后症状改善明显,是安全可靠、微创的手术方式,并具有手术时间短、摄片次数少等优点。
Abstract:
Objective:To investigate the clinical efficacy of visual(I See)intervertebral foramen endoscopy techniques in treating recurrent L5S1 lumbar disc herniation in patients with high iliac crest.Methods:This study included 18 patients with recurrent L5S1 lumbar disc herniation after posterior small incision nucleus pulposus removal surgery,admitted from May 2016 to May 2023.Lateral intervertebral foramen decompression and nucleus pulposus removal were performed.Follow-up was conducted for at least 12 months to evaluate surgical conditions and postoperative outcomes.Results:Compared to preoperative values,groups showed significant reductions in VAS scores at 3 d,3 months,and at the final follow-up(P<0.05),and significant increases in JOA scores(P<0.05).According to the MacNab standard for efficacy evaluation,the visual intervertebral foramen endoscopy group had 15 excellent and 3 good results.Conclusion:Visual intervertebral foramen endoscopy techniques are effective in treating recurrent L5S1 lumbar disc herniation in high iliac crest patients,with significant postoperative symptom improvement.This techniques is safe,reliable,and minimally invasive,and it involves less surgical time and fewer X-ray exposures.

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备注/Memo

备注/Memo:
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更新日期/Last Update: 2025-03-10