[1]刘彬,王子伟,孙海超,等.内镜下髓核摘除纤维环缝合治疗极外侧型腰椎间盘突出症[J].中国中医骨伤科杂志,2025,33(05):74-76.[doi:10.20085/j.cnki.issn1005-0205.250515]
　LIU Bin,WANG Ziwei,SUN Haichao,et al.Endoscopic Discectomy with Annulus Fibrosus Suture for the Treatment of Far Lateral Lumbar Disc Herniation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2025,33(05):74-76.[doi:10.20085/j.cnki.issn1005-0205.250515]
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内镜下髓核摘除纤维环缝合治疗极外侧型腰椎间盘突出症()
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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05期
页码:
74-76
栏目:
临床报道
出版日期:
2025-05-05

文章信息/Info

Title:
Endoscopic Discectomy with Annulus Fibrosus Suture for the Treatment of Far Lateral Lumbar Disc Herniation
文章编号:
1005-0205(2025)05-0074-03
作者:
刘彬1; 王子伟1; 孙海超1; 李佳佳1; 刘鹏程1; 王利君2; 刘永强1; 姜泽威1; 杨凯1△; 毕爱娟1
1山东省文登整骨医院(山东 威海,264400); 2山东威高骨科材料股份有限公司
Author(s):
LIU Bin1; WANG Ziwei1; SUN Haichao1; LI Jiajia1; LIU Pengcheng1; WANG Lijun2; LIU Yongqiang1 JIANG Zewei1 YANG Kai1△ BI Aijuan1
1Wendeng Orthopaedic Hospital of Shandong Province,Weihai 264400,Shandong China; 2Shandong Weigao Orthopaedic Materials Co.,Ltd.,Weihai 264400,Shandong China.
关键词:
纤维环缝合;  脊柱内镜;  髓核摘除;  极外侧型;  椎间盘突出
Keywords:
annulus fibrosus suture;  spinal endoscopy;  nucleus pulposus removal;  far lateral type;  lumbar disc herniation
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.250515
文献标志码:
B
摘要:
目的:探讨内镜下椎间盘摘除合并纤维环缝合治疗极外侧型腰椎间盘突出症(LDH)的临床效果。方法:对2021年7月至2023年7月收治的38例极外侧型腰椎间盘突出症患者按照患病节段分类,L3/4节段4例,L4/5节段24例,L5S1节段10例。按照突出类型分类,突出型15例,脱出型14例,游离型9例。所有患者均采用内镜下椎间盘摘除合并纤维环缝合治疗,随访12个月以上,评价手术疗效。结果:手术均顺利完成,手术时间为(48.65±6.05)min; 1例患者症状缓解不彻底,未出现感染、神经损伤等并发症。术后3个月及12个月随访,患者Oswestry功能障碍指数(ODI)及视觉模拟量表(VAS)评分均显著降低,差异有统计学意义(P<0.05); 至末次随访,无复发病例,手术优良率为94.74%。结论:内镜下椎间盘摘除配合纤维环缝合可作为一种安全、有效的技术治疗极外侧型腰椎间盘突出症,可推广应用。
Abstract:
Objective:To investigate the clinical efficacy of endoscopic discectomy combined with annulus fibrosus suture in the treatment of far lateral lumbar disc herniation(LDH).Methods:A total of 38 patients with far lateral LDH from July 2021 to July 2023 were classified by affected segments:L3/4(4 cases),L4/5(24 cases),and L5S1(10 cases).By herniation type:protrusion(15 cases),extrusion(14 cases),and sequestration(9 cases).All patients underwent endoscopic discectomy with annulus fibrosus suture,with follow-up exceeding 12 months to evaluate surgical outcomes.Results:All surgeries were successfully completed,with an operative time of(48.65±6.05)min.One patient had incomplete symptom relief,and no complications such as infection or nerve injury occurred.At 3-month and 12-month follow-ups,patients' Oswestry disability index(ODI)and visual analogue scale(VAS)scores significantly decreased(P<0.05).No recurrence was observed at the final follow-up,with an excellent-good rate of 94.74%.Conclusion:Endoscopic discectomy combined with annulus fibrosus suture is a safe and effective technique for far lateral LDH and warrants clinical promotion.

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备注/Memo

备注/Memo:
基金项目:山东省医药卫生项目(202204070548)
△通信作者 E-mail:wdzglb@163.com
更新日期/Last Update: 2025-05-15