[1]郑景陆 陈世忠 李大刚 温涛.脊柱内镜治疗伴有稳定型椎体滑脱的老年腰椎管狭窄症19例[J].中国中医骨伤科杂志,2022,30(03):43-47.
　ZHENG Jinglu CHEN Shizhong LI Dagang WEN Tao.19 Cases of Clinical Report of Spinal Endoscopy on the Treatment of Senile Lumbar Spinal Stenosis with Stable Spondylolisthesis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(03):43-47.
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脊柱内镜治疗伴有稳定型椎体滑脱的老年腰椎管狭窄症19例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年03期
页码:
43-47
栏目:
临床报道
出版日期:
2022-03-15

文章信息/Info

Title:
19 Cases of Clinical Report of Spinal Endoscopy on the Treatment of Senile Lumbar Spinal Stenosis with Stable Spondylolisthesis
文章编号:
1005-0205(2022)03-0043-05
作者:
郑景陆1 陈世忠1 李大刚1 温涛2
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 CHEN Shizhong1 LI Dagang1 WEN Tao2
1Zhongshan Hospital of Traditional Chinese Medicine, Zhongshan 528400,Guangdong China; 2Guangdong Hospital of Traditional Chinese Medicine, Guangzhou 510030, China.
关键词:
单侧椎板间隙入路双侧椎管减压;  脊柱内镜;  稳定型滑脱;  腰椎管狭窄症
Keywords:
unilateral laminectomy for bilateral decompression;  spinal endoscopy;  stable spondylolisthesis;  lumbar spinal stenosis
分类号:
R681.5
文献标志码:
B
摘要:
目的:评价应用大直径脊柱内镜单侧椎板间隙入路双侧椎管减压方式治疗伴有稳定型椎体滑脱的老年腰椎管狭窄症的临床疗效。方法:收集自2019年3月至2020年6月应用大直径脊柱内镜单侧椎板间隙入路双侧椎管减压治疗伴有稳定型椎体滑脱的老年腰椎管狭窄症患者19例,记录手术时间、术前术后疼痛VAS评分、JOA评分及术后并发症,末次随访时采用改良MacNab标准评价疗效。结果:手术时间为80～150 min,平均为(105.0±27.3)min,未见严重术后并发症,术后随访各时间点VAS评分与JOA评分均优于术前,差异有统计学意义(P<0.05)。末次随访MacNab评分评定优良率为89.47%。结论:大直径脊柱内镜单侧椎板间隙入路双侧椎管减压方式可用于治疗伴有稳定型椎体滑脱的老年腰椎管狭窄症。
Abstract:
Objective:To evaluate clinical efficacy of unilateral laminectomy for bilateral decompression under large-diameter spinal endoscope on the treatment of senile lumbar spinal stenosis with stable spondylolisthesis. Methods:19 senile lumbar spinal stenosis with stable spondylolisthesis from March 2019 to June 2020 were treated with unilateral laminectomy for bilateral decompression under large-diameter spinal endoscope were selected. The operation time, preoperative and postoperative pain VAS score, JOA score and postoperative complications were recorded. The curative efficacy was evaluated by the modified MacNab standard at the last follow-up. Results:The operation time was 80 to 150 min, with an average of(105.0±27.3)min, and no serious postoperative complications were found. The VAS score and JOA score at each time point of postoperative follow-up were better than those before operation(P<0.05). The excellent and good rate of MacNab score in the last follow-up was 89.47%. Conclusion:Unilateral laminectomy for bilateral decompression under large-diameter spinal endoscope can be used to treat senile lumbar spinal stenosis with stable spondylolisthesis.

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备注/Memo

备注/Memo:
基金项目:中山市社会公益与基础研究项目(2021B1050)
更新日期/Last Update: 1900-01-01