[1]郑景陆△ 温涛 李大刚.大通道脊柱内镜治疗老年腰椎管狭窄症的疗效观察[J].中国中医骨伤科杂志,2021,29(08):62-65.
　ZHENG Jinglu WEN Tao LI Dagang.Effect of Large Channel Spinal Endoscopy in the Treatmentof Lumbar Spinal Stenosis in the Elderly Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2021,29(08):62-65.
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大通道脊柱内镜治疗老年腰椎管狭窄症的疗效观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第29卷
期数:
2021年08期
页码:
62-65
栏目:
临床报道
出版日期:
2021-08-15

文章信息/Info

Title:
Effect of Large Channel Spinal Endoscopy in the Treatmentof Lumbar Spinal Stenosis in the Elderly Patients
文章编号:
1005-0205(2021)08-0062-04
作者:
郑景陆1△ 温涛2 李大刚1
1广东中山市中医院骨四科(广东 中山,528400)2广东省中医院骨一科
Author(s):
ZHENG Jinglu1△ WEN Tao2 LI Dagang1
1Guangdong Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan 528400,Guangdong China; 2Guangdong Hospital of Traditional Chinese Medicine,Guangzhou 510030,China.
关键词:
单侧椎板间入路;  双侧椎管减压;  脊柱内镜;  老年;  腰椎管狭窄症
Keywords:
unilateral laminectomy;  bilateral decompression;  spinal endoscopy;  elderly patient;  lumbar spinal stenosis
分类号:
R681.5
文献标志码:
B
摘要:
目的:观察大通道脊柱内镜单侧椎板间入路双侧椎管减压治疗老年腰椎管狭窄症的有效性及安全性。方法:回顾分析自2018年10月至2019年12月采用大通道脊柱内镜单侧椎板间入路双侧椎管减压治疗的25例老年腰椎管狭窄症,比较术前、术后疼痛视觉模拟量表(VAS)评分及Oswestry功能障碍指数(ODI),评价术后6个月随访时MacNab标准的疗效,并观察术后并发症。结果:所有病例均顺利完成手术,手术时间80～145 min,平均(77±28)min; 25例病例均得到随访,术后随访时VAS评分和ODI与术前相比,差异均有统计学意义(P<0.05)。术后6个月随访MacNab评分评定优17例,良6例,可2例,优良率为92.0%。结论:大通道脊柱内镜单侧椎板间入路双侧椎管减压治疗老年腰椎管狭窄症术后并发症少,疗效满意。
Abstract:
To observe the efficacy and safety of unilateral laminectomy for bilateral decompression approach with large channel spinal endoscope in the treatment of senile lumbar spinal stenosis.Methods:25 elderly patients with lumbar spinal stenosis were treated with unilateral laminectomy for bilateral decompression approach under large channel spinal endoscope from October 2018 to December 2019.The preoperative and postoperative VAS scores and ODI were compared,the operation time and hospital stay were recorded,the efficacy of macnab standard at the last follow-up was evaluated,and the postoperative complications were observed.Results:The operation time was 80 to 145 min(mean(77±28)min),all 25 cases were followed up.There were significant differences in VAS score and ODI between preoperative and postoperative follow-up(P<0.05).According to MacNab score at the 6 months after operation,17 cases were excellent,6 cases were good and 2 cases were fair.The excellent and good rate was 92.0%.Conclusion:Unilateral laminectomy for bilateral decompression approach with large channel spinal endoscope in the treatment of lumbar spinal stenosis in the elderly patients has less postoperative complications and satisfactory results.

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备注/Memo

备注/Memo:
基金项目:中山市社会公益科技研究项目(2018B1097)中山市社会公益与基础研究项目(2021B1050)
△通信作者 E-mail:344723415@qq.com
更新日期/Last Update: 2021-08-15