[1]莫靖煊 张世民△ 靳蛟 林海 顾毕良 时福东.脊柱内镜TESSYS技术治疗高龄患者腰椎间盘突出症40例[J].中国中医骨伤科杂志,2022,30(04):34-37.
　MO Jingxuan ZHANG Shimin JIN Jiao LIN Hai GU Biliang SHI Fudong.40 Cases Clinical Study of Spinal Endoscopy TESSYS on the Treatment of Lumbar Disc Herniation in the Elderly Patients[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(04):34-37.
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脊柱内镜TESSYS技术治疗高龄患者腰椎间盘突出症40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04期
页码:
34-37
栏目:
临床报道
出版日期:
2022-04-15

文章信息/Info

Title:
40 Cases Clinical Study of Spinal Endoscopy TESSYS on the Treatment of Lumbar Disc Herniation in the Elderly Patients
文章编号:
1005-0205(2022)04-0034-04
作者:
莫靖煊1 张世民1△ 靳蛟1 林海1 顾毕良2 时福东1
1中国中医科学院望京医院脊柱一科(北京,100020)2云南澜沧拉祜族自治县中医院
Author(s):
MO Jingxuan1 ZHANG Shimin1△ JIN Jiao1 LIN Hai1 GU Biliang2 SHI Fudong1
1First Department of Spine,Wangjing Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100020,China; 2Lancang Lahu Autonomous County Hospital of Traditional Chinese Medicine,Pu’er 665000,Yunnan China.
关键词:
脊柱内镜; 高龄患者; 腰椎间盘突出症
Keywords:
spinal endoscopy;  elderly patients;  lumbar disc herniation
分类号:
R681.5
文献标志码:
B
摘要:
目的:评价脊柱内镜TESSYS技术治疗高龄腰椎间盘突出症患者的临床疗效。方法:选取中国中医科学院望京医院脊柱一科2018年3月至2020年9月收治的高龄腰椎间盘突出症患者40例进行回顾性分析,年龄75～84岁。观察术前、术后1个月、术后半年VAS及ODI评分,并在术后半年随访时通过改良MacNab标准评价临床疗效。结果:40例患者均顺利完成手术并获得随访。术前、术后1个月、术后半年的VAS评分分别为(7.75±0.92)分、(1.95±0.67)分、(1.03±0.48)分,术前、术后1个月、术后半年的ODI评分分别为(32.88±1.62)分、(13.93±1.73)分、(10.58±1.23)分。术后1个月、术后半年较术前VAS、ODI评分相比均有显著改善,差异有统计学意义(P<0.05)。术后半年随访时通过改良MacNab标准评价临床疗效:优25例,良12例,可3例,差0例。结论:脊柱内镜TESSYS技术治疗高龄腰椎间盘突出症患者具有损伤小、安全可靠、疗效理想的优点,对于无法耐受开放手术及全身麻醉的高龄腰椎间盘突出症患者来说,是一种理想的选择。
Abstract:
Objective:To evaluate the clinical efficacy of spinal endoscopy TESSYS technology on the treatment of elderly patients with lumbar disc herniation.Methods:40 elderly patients with lumbar disc herniation from March 2018 to September 2020 were retrospectively analyzed,aged 75 to 84 years old.VAS and ODI scores were observed before operation,one month after operation and half a year after operation,and the clinical efficacy was evaluated by modified macnab standard during half a year after operation.Results:All 40 patients completed the operation successfully and were followed up.The VAS scores before operation,1 month after operation and half a year after operation were 7.75 ± 0.92,1.95 ± 0.67 and 1.03 ± 0.48 respectively,and the ODI scores before operation,1 month after operation and half a year after operation were 32.88 ± 1.62,13.93 ± 1.73 and 10.58 ± 1.23 respectively.The VAS and ODI scores were significantly improved one month and half a year after operation(P<0.05).During the follow-up half a year after operation,the clinical efficacy was evaluated by the improved Macnab standard:25 cases were excellent,12 cases were good,3 cases were fair and 0 case was poor.Conclusion:Spinal endoscopic TESSYS technology has the advantages of less damage,safety,reliability and ideal curative efficacy in the treatment of elderly patients with lumbar disc herniation.It is an ideal choice for elderly patients with lumbar disc herniation who cannot tolerate open surgery and general anesthesia.

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备注/Memo

备注/Memo:
基金项目:中国中医科学院科技创新工程重大攻关项目(CI2021A02006)
△通信作者 E-mail:Smzhang1117@163.com
更新日期/Last Update: 1900-01-01