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[1]賈傳廣.經(jīng)皮椎間孔鏡技術(shù)治療腰椎間盤突出癥[J].中醫(yī)正骨,2015,27(06):49-50.
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經(jīng)皮椎間孔鏡技術(shù)治療腰椎間盤突出癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年06期
頁碼:
49-50
欄目:
臨床報(bào)道
出版日期:
2015-06-30

文章信息/Info

作者:
賈傳廣
山東省棗莊市中醫(yī)醫(yī)院,山東 棗莊 277100
關(guān)鍵詞:
椎間盤移位 椎間盤切除術(shù) 椎間孔鏡 腰椎
摘要:
目的:探討采用經(jīng)皮椎間孔鏡技術(shù)治療腰椎間盤突出癥的臨床療效及安全性。方法:2013年1月至2014年4月,采用經(jīng)皮椎間 孔鏡技術(shù)治療腰椎間盤突出癥患者108例,男60例,女48例。年齡28~49歲,中位數(shù)37歲。椎間盤突出部位,L3~420例 ,L4~563例,L5S125例。椎間盤突出類型,中央型5例、旁中央型83例、椎間孔型15例、極 外側(cè)型5例。病程1個(gè)月至3年,中位數(shù)1.5年。術(shù)后隨訪觀察腰腿疼痛改善、并發(fā)癥發(fā)生及功能恢復(fù)等情況。結(jié)果:所有患者均獲 隨訪,隨訪時(shí)間1~20個(gè)月,中位數(shù)15個(gè)月。切口均甲級愈合。均未出現(xiàn)切口感染、脊髓神經(jīng)損傷及神經(jīng)根黏連等并發(fā)癥。術(shù)后1 d、7 d、1個(gè)月、6個(gè)月、12個(gè)月,腰腿疼痛視覺模擬評分由術(shù)前的(7.7±2.0)分降至(2.8±1.3)分、(2.4±1.7)分 、(1.9±0.9)分、(1.6±0.7)分、(1.5±0.8)分。采用Macnab評分標(biāo)準(zhǔn)評價(jià)療效,優(yōu)78例、良22例、可8例。結(jié)論: 采用經(jīng)皮椎間孔鏡技術(shù)治療腰椎間盤突出癥,具有創(chuàng)傷小、并發(fā)癥少、可迅速緩解疼痛等優(yōu)點(diǎn),有助于促進(jìn)腰椎功能恢復(fù),值得臨 床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] Postacchini F,Postacchini R.Operative management of lumbar disc herniation:the evolution of knowledge and surgical techniques in the last century[J].Acta Neurochir Suppl,2011,108:17-21.
[2] Ahn Y.Transforaminal percutaneous endoscopic lumbar discectomy:technical tips to prevent complications [J].Expert Rev Med Devices,2012,9(4):361-366.
[3] Majani G,Tiengo M,Giardini A,et al.Relationship between MPQ and VAS in 962 patients.A rationale for their use[J].Minerva Anestesiol,2003,69(1):67-73.
[4] Macnab I.Negative disc exploration.An analysis of the cause of nerve-root involvement in sixty-eight patients[J].J Bone Joint Surg Am,1971,53(5):891-903.
[5] 鄭秀華,張挺,徐海紅.腰椎牽引配合短杠桿微調(diào)手法治療腰椎間盤突出癥[J].中醫(yī)正骨,2013,25(6):51-53.
[6] 林松青,羅勇杰,陳肖,等.神經(jīng)阻滯聯(lián)合整脊手法治療腰椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2014,26(6):31-34.
[7] 劉翠蜂,白玉.自擬益腎蠲痹湯內(nèi)服配合功能鍛煉治療腰椎間盤突出癥80例[J].中醫(yī)正骨,2013,25(8):60-61.
[8] 孫曉芬,吳連國,陳麗麗,等.中藥薰蒸配合腰背肌功能鍛煉和直腿抬高訓(xùn)練治療腰椎間盤突出癥術(shù)后殘余痛[J].中醫(yī)正 骨,2013,25(6):49-50.
[9] Yeung AT.The evolution of percutaneous spinal endoscopy and discectomy:state of the art[J].Mt Sinai J Med,2000,67(4):327-332.
[10] Hoogland T,Schubert M,Miklitz B,et al.Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain:a prospective randomized study in 280 consecutive cases[J].Spine (Phila Pa 1976),2006,31(24):E890-897.
[11] Choi KB,Lee CD,Lee SH.Pyogenic spondylodiscitis after percutaneous endoscopic lumbar discectomy[J].J Korean Neurosurg Soc,2010,48(5):455-460.
[12] Ahn Y,Lee SH.Postoperative spondylodiscitis following transforaminal percutaneous endoscopic lumbar discectomy:clinical characteristics and preventive strategies[J].Br J Neurosurg,2012,26(4):482-486.
[13] Hermantin FU,Peters T,Quartararo L,et al.A prospective,randomized study comparing the results of open discectomy with those of video-assisted arthroscopic microdiscectomy[J].J Bone Joint Surg Am,1999,81(7):958- 965.
[14] Tzaan WC.Transforaminal percutaneous endoscopic lumbar discectomy[J].Chang Gung Med J,2007,30(3):226-234.
[15] Ahn Y,Kim CH,Lee JH,et al.Radiation exposure to the surgeon during percutaneous endoscopic lumbar discectomy:a prospective study[J].Spine(Phila Pa 1976),2013,38(7):617-625.
[16] Ebraheim NA,Xu R,Huntoon M,et al.Location of the extraforaminal lumbar nerve roots.An anatomic study [J].Clin Orthop Relat Res,1997,(340):230-235.
[17] Reulen HJ,Müller A,Ebeling U.Microsurgical anatomy of the lateral approach to extraforaminal lumbar disc herniations[J].Neurosurgery,1996,39(2):345-350.

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備注/Memo

備注/Memo:
2014-11-14收稿 2015-01-19修回
更新日期/Last Update: 2015-06-30