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[1]李來好,夏磊,王文剛,等.后路頸椎全內(nèi)鏡下突出髓核摘除術(shù)治療單節(jié)段外側(cè)型頸椎間盤突出癥[J].中醫(yī)正骨,2017,29(06):62-64.
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后路頸椎全內(nèi)鏡下突出髓核摘除術(shù)治療單節(jié)段外側(cè)型頸椎間盤突出癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年06期
頁碼:
62-64
欄目:
影像診斷
出版日期:
2017-06-20

文章信息/Info

作者:
李來好1夏磊2王文剛2陳艷超1王鵬程1楊賢玉1李洪珂1潘登1高振甫1
1.平煤神馬醫(yī)療集團(tuán)總醫(yī)院,河南 平頂山 467000; 2.鄭州大學(xué)第一附屬醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
椎間盤移位 椎間盤切除術(shù)經(jīng)皮 頸椎 外科手術(shù)微創(chuàng)性 內(nèi)窺鏡檢查
摘要:
目的:探討后路頸椎全內(nèi)鏡下突出髓核摘除術(shù)治療單節(jié)段外側(cè)型頸椎間盤突出癥的短期療效。方法:2013年3月至2015年12月收治16例單節(jié)段外側(cè)型頸椎間盤突出癥患者。男9例,女7例; 年齡35~58歲,中位數(shù)43歲; C5~6椎間盤突出7例、C6~7椎間盤突出9例; 患者均有不同程度的頸肩部疼痛,9例合并單側(cè)上肢放射性疼痛,3例合并前臂外側(cè)放射性疼痛、麻木,4例合并單側(cè)手指疼痛、麻木。所有患者均經(jīng)6個月以上口服藥物、按摩、牽引、理療等非手術(shù)治療,效果欠佳。均采用后路頸椎全內(nèi)鏡(Joimax)下突出髓核摘除術(shù)治療,術(shù)后分別采用疼痛視覺模擬量表(visual analogue scale,VAS)和日本骨科學(xué)會(Japanese orthopaedic association,JOA)頸椎病功能評定量表(17分法)評定患者的頸肩部疼痛程度和總體療效。結(jié)果:所有患者均順利完成手術(shù),未發(fā)生脊髓神經(jīng)損傷。所有患者均獲得隨訪,隨訪時間12~18個月,中位數(shù)14個月。術(shù)后14例患者的癥狀明顯減輕,術(shù)前、術(shù)后1個月及術(shù)后12個月時的疼痛VAS評分分別為(8.36±0.32)分、(2.65±0.74)分、(1.26±0.24)分,JOA評分分別為(6.29±0.40)分、(12.18±0.81)分、(13.68±0.34)分; 2例患者頸肩部疼痛癥狀改善不明顯,經(jīng)局部理療、封閉等治療后癥狀改善。結(jié)論:采用后路頸椎全內(nèi)鏡下突出髓核摘除術(shù)治療單節(jié)段外側(cè)型頸椎間盤突出癥,短期療效滿意。

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更新日期/Last Update: 2017-06-20