中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2008年
6期
989-990
,共2页
内窥镜%椎管狭窄
內窺鏡%椎管狹窄
내규경%추관협착
Endoscopes%Spinal stenosis
目的 探讨采用显微内窥镜下手术治疗腰椎管狭窄症的疗效.方法 对20例腰椎管狭窄症患者,采用METRx系统按显微内窥镜下椎问盘髓核摘除术MED方法,经椎板间隙切除黄韧带、部分椎板和关节突,充分减压硬膜囊和神经根,并根据改良功能标准对临床疗效进行评定.结果 本组病例平均手术时间112 min,平均术中出血90 ml,平均住院日10.1 d,术后平均随访9个月,其中优15例,良2例,可3例.结论 显微内窥镜下手术能够充分解除硬膜囊及神经根压迫,较好地保持腰椎稳定结构,安全有效.
目的 探討採用顯微內窺鏡下手術治療腰椎管狹窄癥的療效.方法 對20例腰椎管狹窄癥患者,採用METRx繫統按顯微內窺鏡下椎問盤髓覈摘除術MED方法,經椎闆間隙切除黃韌帶、部分椎闆和關節突,充分減壓硬膜囊和神經根,併根據改良功能標準對臨床療效進行評定.結果 本組病例平均手術時間112 min,平均術中齣血90 ml,平均住院日10.1 d,術後平均隨訪9箇月,其中優15例,良2例,可3例.結論 顯微內窺鏡下手術能夠充分解除硬膜囊及神經根壓迫,較好地保持腰椎穩定結構,安全有效.
목적 탐토채용현미내규경하수술치료요추관협착증적료효.방법 대20례요추관협착증환자,채용METRx계통안현미내규경하추문반수핵적제술MED방법,경추판간극절제황인대、부분추판화관절돌,충분감압경막낭화신경근,병근거개량공능표준대림상료효진행평정.결과 본조병례평균수술시간112 min,평균술중출혈90 ml,평균주원일10.1 d,술후평균수방9개월,기중우15례,량2례,가3례.결론 현미내규경하수술능구충분해제경막낭급신경근압박,교호지보지요추은정결구,안전유효.
Objective To evaluate the clinical outcome of microendoscopic surgery in treatment of lumbar spinal stenosis. Methods Twenty patients with lumbar spinal canal stenosis were treated with microendoscopic dis-cectomy by using the METRx microendoscopie spinal system. A fenestration of lamina, removal of ligamentum flavum and part of the facet were performed endoscopically,to obtain the complete decompression of dural sac and bi-lateral nerve roots. Clinical outcomes were evaluated with the modified functional scoring system. Results For thisgroup patients,the mean operation time was 112min,mean operative blood loss was 90ml,and mean duration of hos-pital-stay was 10.1 days. In the mean follow up of 9 months,15 cases were excellent,2 good and 3 fair based on the modified functional scoring system. Conclusion Microendoscopic spinal surgery is a safe, effective and ideal decom-pressive surgical method for lumbar spinal canal steneais.
