南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
5期
40-42,49
,共4页
腰椎间盘突出症%经椎间孔%内镜%微创治疗
腰椎間盤突齣癥%經椎間孔%內鏡%微創治療
요추간반돌출증%경추간공%내경%미창치료
lumbar disc herniation%transforaminal%endoscope%minimally invasive treatment
目的：评估经皮穿刺椎间孔镜（percutaneous transforaminal lumbar discectomy，PTED）技术治疗腰椎间盘突出症的早期临床疗效，总结临床经验。方法2012年6月至2013年2月对30例腰椎间盘突出症患者行 PTED术，手术效果按照视觉疼痛模拟评分（visual analogue scale，VAS）、0swestry功能障碍指数（0swestry disability in-dex，ODI）和改良 Macnab标准进行评定。结果所有患者均成功实施手术。手术时间50～120 min，平均97 min，术中出血量20～50 mL，平均42 mL。术后5例患者出现患肢痛觉过敏现象，经对症治疗后症状缓解。术后随访时间3～12个月，平均8个月，术后1 d、1个月、3个月、末次随访的 VAS及 ODI评分与术前1 d相比明显降低，其差异均有统计学意义（P＜0．05）。根据改良 Macnab评定：优16例，良9例，可3例，差2例，优良率83．3％。结论PTED技术是治疗腰椎间盘突出症安全、有效的手术方法。
目的：評估經皮穿刺椎間孔鏡（percutaneous transforaminal lumbar discectomy，PTED）技術治療腰椎間盤突齣癥的早期臨床療效，總結臨床經驗。方法2012年6月至2013年2月對30例腰椎間盤突齣癥患者行 PTED術，手術效果按照視覺疼痛模擬評分（visual analogue scale，VAS）、0swestry功能障礙指數（0swestry disability in-dex，ODI）和改良 Macnab標準進行評定。結果所有患者均成功實施手術。手術時間50～120 min，平均97 min，術中齣血量20～50 mL，平均42 mL。術後5例患者齣現患肢痛覺過敏現象，經對癥治療後癥狀緩解。術後隨訪時間3～12箇月，平均8箇月，術後1 d、1箇月、3箇月、末次隨訪的 VAS及 ODI評分與術前1 d相比明顯降低，其差異均有統計學意義（P＜0．05）。根據改良 Macnab評定：優16例，良9例，可3例，差2例，優良率83．3％。結論PTED技術是治療腰椎間盤突齣癥安全、有效的手術方法。
목적：평고경피천자추간공경（percutaneous transforaminal lumbar discectomy，PTED）기술치료요추간반돌출증적조기림상료효，총결림상경험。방법2012년6월지2013년2월대30례요추간반돌출증환자행 PTED술，수술효과안조시각동통모의평분（visual analogue scale，VAS）、0swestry공능장애지수（0swestry disability in-dex，ODI）화개량 Macnab표준진행평정。결과소유환자균성공실시수술。수술시간50～120 min，평균97 min，술중출혈량20～50 mL，평균42 mL。술후5례환자출현환지통각과민현상，경대증치료후증상완해。술후수방시간3～12개월，평균8개월，술후1 d、1개월、3개월、말차수방적 VAS급 ODI평분여술전1 d상비명현강저，기차이균유통계학의의（P＜0．05）。근거개량 Macnab평정：우16례，량9례，가3례，차2례，우량솔83．3％。결론PTED기술시치료요추간반돌출증안전、유효적수술방법。
Objective To evaluate the short-term efficacy of percutaneous transforaminal endo-scopic discectomy(PTED)in the treatment of lumbar disc herniation,and to summarize the clini-cal experience.Methods Clinical outcomes were evaluated by visual analogue scale(VAS),oswe-stry disability index(ODI)and modified Macnab criteria in 30 patients who underwent PTED for lumbar disc herniation between June 2012 and February 2013.Results PTED was successfully completed in all patients.The mean operation time was 97 minutes (range,50 to 120 minutes). The mean intraoperative blood loss was 42 mL(range,20 to 50 mL).Ipsilateral hyperalgesia oc-curred after operation in 5 patients.But the symptoms were alleviated after symptomatic treat-ment.Patients were followed-up for an average of 8 months (range,3 to 12 months).Scores of VAS and ODI assessed at 1 day,1 month and 3 months after operation and at the last follow-up were significantly lower than those assessed at 1 day before operation(P<0.05).According to the modified Macnab criteria,clinical outcomes were excellent in 16 patients,good in 9,fair in 3,and poor in 2.The excellent and good rate was 83.3%.Conclusion PTED is a safe and effective treat-ment for lumbar disc herniation.
