[1]高雪伟,李涛,邓昶,等.钥匙孔技术在神经根型颈椎病治疗中应用的效果[J].中国中医骨伤科杂志,2023,31(10):74-78+82.[doi:10.20085/j.cnki.issn1005-0205.231016]
　GAO Xuewei,LI Tao,DENG Chang,et al.Comparison of Key-Hole Technique on the Treatment of Cervical Spondylotic Radiculopathy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(10):74-78+82.[doi:10.20085/j.cnki.issn1005-0205.231016]
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钥匙孔技术在神经根型颈椎病治疗中应用的效果()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年10期
页码:
74-78+82
栏目:
临床报道
出版日期:
2023-10-15

文章信息/Info

Title:
Comparison of Key-Hole Technique on the Treatment of Cervical Spondylotic Radiculopathy
文章编号:
1005-0205(2023)10-0074-05
作者:
高雪伟1; 李涛1; 邓昶1; 刘镠1; 胡胜利1
1武汉中西医结合骨科医院(武汉体育学院附属医院)脊柱外科(武汉,430079)
Author(s):
GAO Xuewei1; LI Tao1; DENG Chang1; LIU Liu1; HU Shengli1
1Spinal Surgery Department,The Affiliated Hospital of Wuhan Sports University,Wuhan 430079,China.
关键词:
脊柱内镜;  钥匙孔技术;  神经根型颈椎病;  疼痛;  颈椎功能
Keywords:
spinal endoscopy;  Key-hole technology;  cervical spondylotic radiculopathy;  pain;  cervical vertebra function
分类号:
R681.5
DOI:
10.20085/j.cnki.issn1005-0205.231016
文献标志码:
B
摘要:
目的:经皮后路脊柱内镜下钥匙孔(Key-hole)技术在神经根型颈椎病(CSR)治疗中应用的效果。方法:回顾性分析2021年6月至2022年6月行经皮后路脊柱内镜下钥匙孔术的43例神经根型颈椎病患者的资料,记录手术疗效评价指标,判定术后6个月疗效,测定术前、术后1个月、3个月及6个月Cobb角,并评定疼痛数字分级法(NRS)评分、神经根型颈椎病症状与功能评定量表评分、颈椎功能障碍指数(NDI)。结果:43例患者均成功完成钥匙孔术,手术用时为(71.36±11.31)min,切口长度为(0.74±0.23)cm,术中失血量为(34.79±6.78)mL,住院时间为(6.81±1.28)d; 术后仅有1例患者出现四肢麻木症状,短期内好转。术后1个月、3个月及6个月随访发现,患者数字评分法及功能障碍指数评分均较术前明显降低,差异有统计学意义(P<0.05); 症状功能评分均较术前明显增高,差异有统计学意义(P<0.05); Cobb角均较术前明显增大,差异有统计学意义(P<0.05)。结论:经皮后路脊柱内镜下钥匙孔手术对神经根型颈椎病患者疼痛、症状及功能障碍的改善效果较好,且具有切口小、术后恢复快等微创优势。
Abstract:
Objective:To compare the efficacy of posterior endoscopic Key-hole technique on the treatment of cervical spondylotic radiculopathy(CSR).Methods:43 patients undergoing percutaneous posterior spinal endoscopic Key-hole surgery from June 2021 to June 2022 were analyzed retrospectively.The surgical indicators were recorded,the postoperative efficacy was determined at 6 months,the Cobb angle was measured at 1,3 and 6 months before and after surgery,the pain numerical rating scale(NRS)score,CSR symptom and function assessment scale score,and neck disability index(NDI)were evaluated.Results:All 43 patients successfully completed Key-hole surgery,with surgical time of(71.36 ±11.31)min,incision length of(0.74±0.23)cm,intraoperative blood loss of(34.79±6.78)mL,and hospital stay of(6.81±1.28)d.Only one patient experienced limb numbness after surgery,which could improve in the short term.At 1,3 and 6 months follow-up after surgery,the patient's NRS and NDI scores were significantly reduced compared to before surgery(P<0.05),the symptom function score was significantly increased compared to before surgery(P<0.05),and the Cobb angle was significantly increased compared to before surgery(P<0.05).Conclusion:Key-hole surgery under percutaneous posterior spine endoscopy has a good efficacy on the improvement of pain,symptoms and dysfunction in patients with CSR,and has the advantages of small incision and quick postoperative recovery.

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备注/Memo

备注/Memo:
基金项目:2020年武汉市医学科研项目(WZ20D08)
更新日期/Last Update: 2023-10-01