医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
10期
87-88
,共2页
椎间孔镜%腰椎间盘突出症%射频消融
椎間孔鏡%腰椎間盤突齣癥%射頻消融
추간공경%요추간반돌출증%사빈소융
Transformational endoscope%Lumbar intervertebral disc herniation%Radiofrequency
目的：评估经皮椎间孔镜(transformationalendoscopespinesystem,TESSYS)技术治疗单节段腰椎间盘突出的近期临床疗效，总结临床经验。方法选择单节段椎间盘突出症患者18例，行侧后路经皮THESSYS椎间孔镜下椎间盘髓核摘除手术，应用疼痛视觉模拟评分(VAS评分)、Oswestry功能障碍(ODI)指数及改良Macnab标准评价其临床疗效。结果术后1d及术后1w、1个月的VAS评分分别为(3．6±0．8)、(3．2±0.7)、(2．5±0．6)分，均显著低于术前的(8．74±1．4)分(P值均<0.01)。术后1d及术后1w、1个月的ODI指数分别为(32．2±8．2)％、(21．3±4．9)％及(18．8±8．3)％，均显著低于术前的(82．2±12．6)％(P值均<0．01)。根据改良Macnab标准评价疗效：优7例，良9例，可2例，差0例。仅1例患者于术后当天出现一过性神经麻痹，未行特殊处理，3d后症状消失。结论应用PTED行髓核摘除术治疗腰椎间盘突出症的近期疗效可靠。
目的：評估經皮椎間孔鏡(transformationalendoscopespinesystem,TESSYS)技術治療單節段腰椎間盤突齣的近期臨床療效，總結臨床經驗。方法選擇單節段椎間盤突齣癥患者18例，行側後路經皮THESSYS椎間孔鏡下椎間盤髓覈摘除手術，應用疼痛視覺模擬評分(VAS評分)、Oswestry功能障礙(ODI)指數及改良Macnab標準評價其臨床療效。結果術後1d及術後1w、1箇月的VAS評分分彆為(3．6±0．8)、(3．2±0.7)、(2．5±0．6)分，均顯著低于術前的(8．74±1．4)分(P值均<0.01)。術後1d及術後1w、1箇月的ODI指數分彆為(32．2±8．2)％、(21．3±4．9)％及(18．8±8．3)％，均顯著低于術前的(82．2±12．6)％(P值均<0．01)。根據改良Macnab標準評價療效：優7例，良9例，可2例，差0例。僅1例患者于術後噹天齣現一過性神經痳痺，未行特殊處理，3d後癥狀消失。結論應用PTED行髓覈摘除術治療腰椎間盤突齣癥的近期療效可靠。
목적：평고경피추간공경(transformationalendoscopespinesystem,TESSYS)기술치료단절단요추간반돌출적근기림상료효，총결림상경험。방법선택단절단추간반돌출증환자18례，행측후로경피THESSYS추간공경하추간반수핵적제수술，응용동통시각모의평분(VAS평분)、Oswestry공능장애(ODI)지수급개량Macnab표준평개기림상료효。결과술후1d급술후1w、1개월적VAS평분분별위(3．6±0．8)、(3．2±0.7)、(2．5±0．6)분，균현저저우술전적(8．74±1．4)분(P치균<0.01)。술후1d급술후1w、1개월적ODI지수분별위(32．2±8．2)％、(21．3±4．9)％급(18．8±8．3)％，균현저저우술전적(82．2±12．6)％(P치균<0．01)。근거개량Macnab표준평개료효：우7례，량9례，가2례，차0례。부1례환자우술후당천출현일과성신경마비，미행특수처리，3d후증상소실。결론응용PTED행수핵적제술치료요추간반돌출증적근기료효가고。
Objective To evaluate the preliminary clinical outcomes of percutaneous transformational endoscope discectomy (PTED)in treating lumbar disc herniation after conservative treatment.Methods Total y 18 patients with single lumbar disc herniation failed in conservative treatment and then received posterolateral (PTED Clinical outcomes were evaluated by visual analogue scale (VAS),Oswestry disability index (ODI)and modified Macnab criteria before and after the operation.Results The postoperative VAS scores (3.6±0.8,3.2±0.7,2.5±0 .6 at 1 day,1 week and 1 months)were significantly lower than preoperative one (8.74±1 4 , P<0.01)The postoperative ODI (32.2%±8.2%,21.3%±4.9%,18.8%±8.3%at 1 day,1 week, 1 months)were also significantly lower than preoperative one (82.2%±12.6%,P<0.01).According to the modified Macnab criteria,the therapeutic outcome was excellent in 7 cases,good in 9,fair in 2,and poor in 0.Transient nerve palsy occurred in one patient on day 1 after operation and disappeared after 3 days without special treatment.Conclusion The preliminary study shows that PTED is safe and ef ective in treating lumbar discherniation.
