[1]高琨 胡美琴 刘亮 孙法瑞△.椎间孔镜治疗腰椎融合后相邻节段腰椎间盘突出症20例[J].中国中医骨伤科杂志,2018,26(07):71-73,77.
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椎间孔镜治疗腰椎融合后相邻节段腰椎间盘突出症20例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年07期
页码:
71-73,77
栏目:
临床报道
出版日期:
2018-07-02

文章信息/Info

文章编号:
1005-0205(2018)07-0071-03
作者:
高琨1 胡美琴1 刘亮1 孙法瑞1△
基金项目:湖北省黄石市科技局医药卫生立项项目(201626) 通信作者 E-mail:258014160@qq.com
关键词:
椎间孔镜 BIES技术 腰椎融合术后 相邻节段 腰椎间盘突出症
分类号:
R681.5
文献标志码:
A
摘要:
目的:研究经皮椎间孔镜BEIS技术治疗腰椎融合术后相邻节段的腰椎间盘突出症的临床疗效。方法:回顾性分析2016年1月至2017年1月于本院应用经皮椎间孔镜BEIS技术治疗的20例腰椎融合术后相邻节段腰突症患者的临床资料。其中男12例,女8例; 年龄58~68岁,平均年龄63岁。20例均通过门诊及电话进行随访6~18个月,对患者的术前、术后1周、3个月、12个月的JOA、VAS及Oswestry评分进行比较。结果:手术时间40~80 min,平均50 min; 出血量5~15 mL,平均10 mL; 住院时间3~8 d,平均5 d.所有患者术后腰腿痛症状均得到明显缓解或消失,JOA,VAS及Oswestry评分均较术前明显下降,差异有统计学意义(P<0.05),末次随访结果均保持一致。结论:应用经皮椎间孔镜BEIS治疗腰椎融合术后相邻节段腰椎间盘突出症是一种有效且安全的新方法,具有创伤小、恢复快、术后并发症少等优点。

参考文献/References:

[1] Rodallec MH,Feydy A,Larousserie F,et al. Diagnostic imaging of solitary tumors of the spine:what to do [J].Radiographics,2008,28(4):1019-1041.
[2] Wilcke MK,Hammarberg H,Adolphson PY. Epidemiology andchanged surgical treatment methods for fractures of the distal radius:a registry analysis of 42,583 patients in Stockholm County,Sweden,2004-2010[J].Acta Orthop,2013,84(3):292-296.
[3] Datta S,Lee M,Falco FJE,et al. Systematic assessment of diagnostic accuracy and therapeutic cutility of lumbar facet joint interventions[J].Pain Physician,2009,12(2):437-460.
[4] 李涛,徐峰,徐彬,等.椎间孔镜技术治疗腰椎融合后临近节段病变的临床疗效[J].中国矫形外科杂志,2017,25(2):170-173.
[5] Nellensteijn J,Ostelo R,Bartels R,et al. Transforaminal endoscopic surgery for symptomatic lumbar disc herniations:asystem atic review of the literature[J].Eur Spine J,2010,19(2):181-204.
[6] Wang M,Zhou Y,Wang J,et al.A 10-year followup study on long-term clinical outcomes of lumbar microendoscopic discectomy[J].Neurol Surg A Cent Eur Neurosurg,2012,7(3):195-198.
[7] Choi I,Ahn JO,So WS,et al.Exiting root injury in transforaminal en-doscopic discectomy:preoperative image considerations for safety[J].European Spine Journal,2013,22(11):2481-2487.
[8] 白一冰. BEIS 技术概述与优势[M].见:椎间孔镜BEIS技术操作规范,2015:27.
[9] Fritsch EW,Heisel J,Rupp S,et al.The failed back surgery syndrome:reasonintraoperative findings and long-term results:areport of operative treatments[J].Spine(Phila Pa 1976),1996,21(5):626-633.
[10] Pain B,Telfeian AE. A retrospective evaluation of the clinical success of transforaminal endoscopic discectomy with foraminotomy in geriatric patients[J].Pain physician,2013,16(3):225-229.
[11] Schubert M,Hoogland T. Endoscopic transforaminal nucleotomy with foraminoplasty for lumbar disk hemiation[J].Oper Orthop Traumatol,2011,17(6):641-661.
[12] 周跃,李长青,王建,等.椎间孔镜 YESS 与 TESSYS技术治疗腰椎间盘突出症[J].中华骨科杂志,2010,30(3):225-231.
[13] 田胜兰,谭伟,冯丹,等.皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床观察[J].华中科技大学学报:医学版,2015,44(4):472-475.
[14] Kim CH,Chung CK,Sohn S,et al. The surgical outcome and the sur-gical strategy of percutaneous endoscopic discectomy for recurrent disk herniation[J].Spinal Disord Tech,2014,27(8):415-422.
[20] Schleich C,Müller-Lutz A,Blum K,et al.Facet tropism and facet joint orientation:risk factors for the development of early biochemical alterations of lumbar intervertebral discs[J].Osteoarthritis Cartilage,2016,24(10):S1063-4584.
[21] Kim HJ,Chun HJ,Lee HM,et al. The biomechanical influence of the facet joint orientation and the facet tropism in the lumbar spine[J].Spine,2013,13(10):1301-1308.
[22] Yao Q,Wang S,Shin JH,et al. Lumbar facet joint motion in patients with degenerative spondylolisthesis[J].J Spinal Disord Tech,2013,26(1):E19-27.
[23] 黄靖,李曼.腰椎小关节MRI异常征象在腰痛患者中的临床意义[J].实用放射学杂志,2013,29(12):1997-2000.
[24] 于杰,朱立国,高景华,等.退行性腰椎滑脱症治疗与康复方案的临床研究[J].中国中医骨伤科杂志,2016,24(11):11-14.
[25] Kiapour A,Ambati D,Hoy RW,et al.Effect of graded facetectomy on biomechanics of Dynesys dynamic stabilization system[J].Spine(Phila Pa 1976),2012,37(10):E581-589.
[26] 赵凡,刘正,王炳强,等.有限元模拟单节段腰椎小关节分级切除对腰椎稳定性的影响[J].中华医学杂志,2015,95(13):973-977.
[27] 陈佳佳,龚沈初,保国锋,等.腰椎后路单节段固定融合术后邻近节段关节突关节退变的随访观察[J].中国脊柱脊髓杂志,2017,27(10):883-888.
[28] 英龙,曾至立,于研,等.经椎间孔腰椎椎间融合术中椎弓根螺钉对关节突关节的影响[J].中华医学杂志,2015,95(13):965-968.
[29] Lee SE,Jahng TA,Kim HJ.Facet joint changes after application of lumbar nonfusion dynamic stabilization[J].Neurosurgicalfocus,2016,40(1):E6.
[30] 李振宙,侯树勋,商卫林,等.内窥镜下脊神经背内侧支切断术治疗腰椎关节突关节源性慢性腰痛[J].中国脊柱脊髓杂志,2013,23(3):215-221.
[31] 唐恒涛,赵卫东,吴学建.ISOBAR TTL半坚强动态固定系统对腰椎固定节段关节突关节载荷的影响[J].中华实验外科杂志,2015,32(3):593-595.
[32] 周智毅,张亚峰,周悦,等.量化X线测量技术评估脊柱推拿手法对腰椎稳定性的影响[J].中国中医骨伤科杂志,2018,26(1):10-16.

备注/Memo

备注/Memo:
1鄂东医疗集团黄石市中心医院(湖北理工学院附属医院) 脊柱外科(湖北 黄石,435000)
更新日期/Last Update: 2018-07-02