[1]罗轮 刘丽 李占胜 付艳霞 巨辉 张静△.经皮脊柱内镜下侧、后联合入路治疗单节段腰椎管狭窄症26例[J].中国中医骨伤科杂志,2020,28(12):44-47.
　LUO Lun LIU Li LI Zhansheng FU Yanxia JU Hui ZHANG Jing.The Application of Combined Lateral and Posterior of EndoscopicTechnique in 26 Cases with Single Segment Lumbar Spinal Stenosis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(12):44-47.
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经皮脊柱内镜下侧、后联合入路治疗单节段腰椎管狭窄症26例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年12期
页码:
44-47
栏目:
临床论著
出版日期:
2020-12-15

文章信息/Info

Title:
The Application of Combined Lateral and Posterior of EndoscopicTechnique in 26 Cases with Single Segment Lumbar Spinal Stenosis
文章编号:
1005-0205(2020)12-0044-04
作者:
罗轮1 刘丽1 李占胜1 付艳霞1 巨辉1 张静1△
1四川省科学城医院疼痛科(四川 绵阳,621000)△通信作者 E-mail:449694311@qq.com
Author(s):
LUO Lun1 LIU Li1 LI Zhansheng1 FU Yanxia1 JU Hui1 ZHANG Jing1△
1Department of Pain,Sichuan Science City Hospital,Mianyang 621000,Sichuan China.
关键词:
脊柱内镜;  侧后联合;  单节段;  腰椎管狭窄症
Keywords:
percutaneous spinal endoscopy;  combined of the lateral and posterior approach;  single segment;  lumbar spinal stenosis
分类号:
R681.5
文献标志码:
A
摘要:
目的:探讨经皮脊柱内镜下侧、后联合入路技术治疗单节段腰椎管狭窄症的有效性及安全性。方法:选取本院收治的26例单节段腰椎管狭窄症患者,均接受经皮脊柱内镜下侧、后联合入路椎间孔镜减压治疗。采用疼痛视觉模拟量表(VAS)评分、腰椎功能JOA 评分、Oswestry功能障碍指数(ODI)和改良MacNab标准评估手术疗效。结果:手术时间100～150 min,平均(120.8±13.8)min,住院时间7～15 d,平均住院时间(10.0±1.4)d。术后1 d、3个月及6个月的VAS,ODI及JOA 评分均与术前差异有统计学意义(P<0.05),总有效率为88.46%。结论:经皮脊柱内镜下侧、后联合入路治疗单节段腰椎管狭窄症,可达到充分减压从而快速缓解临床症状的目的,具有疗效好、手术风险小、并发症少、近期疗效可靠等优点。
Abstract:
To explore the clinical efficacy of the combined lateral and posterior of endoscopic technique in single segment lumbar spinal stenosis.Methods:26 patients with single segment lumbar spinal stenosis underwent lateral and posterior of endoscopic technique.Visual analogue scale(VAS),lumbar JOA,ODI and modified MacNab were used to evaluate the effect of operation.Results:The operation time was 100～150 min,with(120.8±13.8)min on average,the hospital stay was 7～15 d with(10.0±1.4)d on average.The scores of VAS,ODI and JOA in 1 d,3 months and 6 months after operation were significantly different with those before operation(P<0.05).The total effective rate is 88.46%.Conclusion:The treatment of single segment lumbar spinal stenosis by the combined of the lateral and posterior approach under the percutaneous spinal endoscopy can achieve the goal of full decompression and rapidly relief of clinical symptoms.It has the advantages of good curative effect,small operation risk,few complications and reliable short-term effect.

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更新日期/Last Update: 2020-12-15