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[1]康永奇,李豪,蒲君濤.經(jīng)皮椎間孔鏡髓核摘除術治療極外側型腰椎間盤突出癥[J].中醫(yī)正骨,2019,31(07):72-74.
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經(jīng)皮椎間孔鏡髓核摘除術治療極外側型腰椎間盤突出癥()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期數(shù):
2019年07期
頁碼:
72-74
欄目:
臨床報道
出版日期:
2019-07-20

文章信息/Info

作者:
康永奇李豪蒲君濤
(登封市人民醫(yī)院,河南 登封 452470)
關鍵詞:
椎間盤移位 腰椎 椎間盤切除術經(jīng)皮 椎間孔鏡
摘要:
目的:觀察經(jīng)皮椎間孔鏡髓核摘除術治療極外側型腰椎間盤突出癥的臨床療效及安全性。方法:2016年1月至2018年6月,采用經(jīng)皮椎間孔鏡髓核摘除術治療極外側型腰椎間盤突出癥患者22例。男15例,女7例。年齡56~62歲,中位數(shù)58歲。椎間盤突出節(jié)段,L3~45例、L4~516例、L5S11例。病程3~6個月,中位數(shù)4個月。采用視覺模擬量表(visual analogue scale,VAS)評價患者腰腿疼痛情況,采用Macnab標準評價療效,隨訪觀察并發(fā)癥發(fā)生情況。結果:手術時間80~140 min,中位數(shù)100 min。術后下床時間16~40 h,中位數(shù)26 h。住院時間4~8 d,中位數(shù)6 d。所有患者均獲隨訪,隨訪時間6~24個月,中位數(shù)15個月。切口均甲級愈合。均未出現(xiàn)脊髓神經(jīng)損傷、切口感染及神經(jīng)根粘連等并發(fā)癥。腰腿疼痛VAS評分,術前(7.9±1.8)分,術后1 d(2.7±1.4)分、7 d(2.5±1.6)分、1個月(1.9±0.8)分、6個月(1.7±0.6)分。術后6個月按Macnab標準評價療效,優(yōu)13例、良7例、可1例、差1例。差的1例非手術治療2個月后癥狀改善不明顯,采用微創(chuàng)經(jīng)椎間孔入路腰椎間融合術治療,最終療效評價結果為良。結論:經(jīng)皮椎間孔鏡髓核摘除術治療極外側型腰椎間盤突出癥,可以減輕腰腿疼痛,療效好、安全性高,值得臨床推廣應用。

參考文獻/References:


[1] 邱貴興.骨科學高級教程[M].北京:中華醫(yī)學電子音像出版社,2016:413.
[2] AL-KHAWAJA D O,MAHASNEH T,LI J C.Surgical treatment of far lateral lumbar disc herniation:a safe and simple approach[J].J Spine Surg,2016,2(1):21-24.
[3] ZHAO C Q,DING W,ZHANG K,et al.Transforaminal lumbar interbody fusion using one diagonal fusion cage with unilateral pedicle screw fixation for treatment of massive lumbar disc herniation[J].Indian J Orthop,2016,50(5):473-478.
[4] LIU T,ZHOU Y,WANG J,et al.Clinical efficacy of three different minimally invasive procedures for far lateral lumbar disc herniation[J].Chin Med J(Engl),2012,125(6):1082-1088.
[5] LIAO Z,CHEN W,WANG C H.Transforaminal percutaneous endoscopic surgery for far lateral lumbar intervertebral disk herniation[J].Orthopedics,2014,37(8):e717-727.
[6] 任佳彬,韓雪馨,孫兆忠,等.經(jīng)皮椎間孔鏡下與椎板間開窗椎間盤切除術治療腰椎間盤突出癥的Meta分析[J].中國矯形外科雜志,2017,25(3):236-242.
[7] 何升華,彭俊宇,趙祥.經(jīng)皮椎間孔鏡椎間盤切除術治療腰椎間盤突出癥近期療效觀察[J].中國骨傷,2011,24(1):72-74.
[8] 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(1-2):67-73.
[9] 蔣協(xié)遠,王大偉.骨科臨床療效評價標準[M].北京:人民衛(wèi)生出版社,2005:102.
[10] TAKAGI Y,YAMADA H,EBARA H,et al.Recurrent upper lumbar disc herniation treated via the transforaminal approach using microendoscopy-assisted lumbar discectomy:a case report[J].J Med Case Rep,2018,12(1):110.
[11] PHAN K,DUNN A E,RAO P J,et al.Far lateral microdiscectomy:a minimally-invasive surgical technique for the treatment of far lateral lumbar disc herniation[J].J Spine Surg,2016,2(1):59-63.
[12] 譚健,李平元,歐軍,等.椎間孔鏡技術治療極外側型腰椎間盤突出癥的近期療效觀察[J].中國內(nèi)鏡雜志,2015,21(4):417-420.
[13] BAKAR B,TEKKOK I H.Far lateral disc herniation evaluated by coronal magnetic resonance imaging:case series[J].Turk Neurosurg,2015,25(1):132-136.
[14] 楊焱,丁長青,單素平.極外側型腰椎間盤突出癥的MRI表現(xiàn)[J].實用骨科雜志,2016,22(9):858-861.
[15] 江時忠,王士維,夏花,等.極外側型腰椎間盤突出患者CT與MRI影像學臨床診斷對照探究[J].中華全科醫(yī)學,2015,13(5):816-818.
[16] 張恩和.CT、MRI診斷極外側型腰椎間盤突出準確性比較[J].黑龍江醫(yī)藥,2017,30(3):679-681.
[17] ZHANG J J,CUI H P,DING Y,et al.Endoscopic foraminoplasty and neuro-ventral decompression for the treatment of lumbar disc herniation combining with lateral recess stenosis[J].J Spine,2018,7(2):412.
[18] 董永強,何鑫東,張偉偉,等.經(jīng)皮椎間孔鏡髓核摘除術聯(lián)合Mckenzie療法治療腰椎間盤突出癥的臨床研究[J].中醫(yī)正骨,2016,28(7):38-41.
[19] ZHANG X,HAO J,HU Z,et al.Clinical evaluation and magnetic resonance imaging assessment of intradiscal methylene blue injection for the treatment of discogenic low back pain[J].Pain Physician,2016,19(8):E1189-1195.
[20] 祝建光,李立鈞.經(jīng)椎間孔入路脊柱內(nèi)鏡技術的技巧與策略[M].上海:上海交通大學出版社,2016:64.

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備注/Memo:
(收稿日期:2019-04-08 本文編輯:郭毅曼)
更新日期/Last Update: 2019-07-20