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[1]楊磊,陳鋒,吳曉飛,等.可視化環(huán)鋸技術(shù)輔助經(jīng)皮椎間孔入路內(nèi)鏡下椎間盤(pán)切除術(shù)治療腰椎間盤(pán)突出癥有效性與安全性的Meta分析[J].中醫(yī)正骨,2024,36(08):35-40.
 YANG Lei,CHEN Feng,WU Xiaofei,et al.Clinical outcomes and safety of visual trephine-assisted percutaneous endoscopic transforaminal discectomy for treatment of lumbar disc herniation:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2024,36(08):35-40.
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可視化環(huán)鋸技術(shù)輔助經(jīng)皮椎間孔入路內(nèi)鏡下椎間盤(pán)切除術(shù)治療腰椎間盤(pán)突出癥有效性與安全性的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第36卷
期數(shù):
2024年08期
頁(yè)碼:
35-40
欄目:
文獻(xiàn)研究
出版日期:
2024-08-20

文章信息/Info

Title:
Clinical outcomes and safety of visual trephine-assisted percutaneous endoscopic transforaminal discectomy for treatment of lumbar disc herniation:a meta-analysis
作者:
楊磊1陳鋒2吳曉飛2劉寧3
1.廣西中醫(yī)藥大學(xué)研究生院,廣西 南寧 530001; 2.廣西中醫(yī)藥大學(xué)附屬瑞康醫(yī)院,廣西 南寧 530011; 3.廣西骨傷醫(yī)院,廣西 南寧 530012
Author(s):
YANG Lei1CHEN Feng2WU Xiaofei2LIU Ning3
1.Postgraduate College of Guangxi University of Chinese Medicine,Nanning 530001,Guangxi,China 2.Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530011,Guangxi,China 3.Guangxi Orthopaedic Hospital,Nanning 530012,Guangxi,China
關(guān)鍵詞:
椎間盤(pán)移位 腰椎 椎間盤(pán)切除術(shù)經(jīng)皮 內(nèi)窺鏡檢查 可視化環(huán)鋸 專題Meta分析
摘要:
目的:系統(tǒng)評(píng)價(jià)可視化環(huán)鋸輔助經(jīng)皮椎間孔入路內(nèi)鏡下椎間盤(pán)切除術(shù)(percutaneous endoscopic transforaminal discectomy,PETD)治療腰椎間盤(pán)突出癥(lumbar disc herniation,LDH)的有效性和安全性。方法:檢索中國(guó)知網(wǎng)、萬(wàn)方數(shù)據(jù)庫(kù)、維普網(wǎng)、中國(guó)生物醫(yī)學(xué)文獻(xiàn)服務(wù)系統(tǒng)、PubMed、Embase、Cochrane Library中比較可視化環(huán)鋸和傳統(tǒng)環(huán)鋸輔助PETD治療LDH有效性和安全性的隨機(jī)對(duì)照試驗(yàn)和回顧性臨床研究文獻(xiàn),檢索時(shí)限為數(shù)據(jù)庫(kù)建庫(kù)至2023年11月30日。由2名研究人員獨(dú)立篩選文獻(xiàn)、提取數(shù)據(jù)并評(píng)價(jià)納入研究的文獻(xiàn)質(zhì)量后,采用RevMan5.3軟件進(jìn)行Meta分析。結(jié)果:共納入10項(xiàng)研究,其中隨機(jī)對(duì)照試驗(yàn)2項(xiàng)、回顧性臨床研究8項(xiàng); 共涉及756例患者,其中可視化環(huán)鋸組377例、傳統(tǒng)環(huán)鋸組379例。Meta分析結(jié)果顯示,與傳統(tǒng)環(huán)鋸組相比,可視化環(huán)鋸組手術(shù)時(shí)間更短[MD=-10.40,95%CI(-12.08,-8.71),P=0.000]、術(shù)中X線透視次數(shù)和術(shù)中出血量更少[MD=-6.67,95%CI(-6.94,-6.40),P=0.000; MD=-2.22,95%CI(-3.56,-0.89),P=0.001]、腿部疼痛緩解更明顯[MD=-0.28,95%CI(-0.43,0.14),P=0.000]。2組Oswestry功能障礙指數(shù)、腰部疼痛視覺(jué)模擬量表評(píng)分、日本骨科協(xié)會(huì)腰痛疾患療效評(píng)分、術(shù)后療效優(yōu)良率、術(shù)后并發(fā)癥發(fā)生率的組間差異均無(wú)統(tǒng)計(jì)學(xué)意義。結(jié)論:現(xiàn)有的證據(jù)表明,相較于傳統(tǒng)環(huán)鋸輔助PETD,采用可視化環(huán)鋸輔助PETD治療LDH,可縮短手術(shù)時(shí)間、減少術(shù)中X線透視次數(shù)和出血量、減輕腿部疼痛癥狀。

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備注/Memo

備注/Memo:
基金項(xiàng)目:國(guó)家自然科學(xué)基金項(xiàng)目(82360936); 廣西中西醫(yī)結(jié)合骨與關(guān)節(jié)退行性疾病多學(xué)科交叉創(chuàng)新團(tuán)隊(duì)項(xiàng)目(GZKJ2310); 第七批全國(guó)老中醫(yī)藥專家學(xué)術(shù)經(jīng)驗(yàn)繼承工作項(xiàng)目(國(guó)中醫(yī)藥人教函〔2022〕76號(hào)); 廣西名中醫(yī)傳承工作室建設(shè)項(xiàng)目(桂中醫(yī)藥科教發(fā)〔2021〕6號(hào))
通訊作者:陳鋒 E-mail:[email protected]
更新日期/Last Update: 1900-01-01