颈腰痛杂志
頸腰痛雜誌
경요통잡지
2014年
4期
282-285
,共4页
许成君%权宗军%许亚琼%王经志%赵文龙%王飞
許成君%權宗軍%許亞瓊%王經誌%趙文龍%王飛
허성군%권종군%허아경%왕경지%조문룡%왕비
腰椎间盘突出症%脊柱内窥镜%椎间孔入路%髓核摘除%神经根松解
腰椎間盤突齣癥%脊柱內窺鏡%椎間孔入路%髓覈摘除%神經根鬆解
요추간반돌출증%척주내규경%추간공입로%수핵적제%신경근송해
lumbar intervertebral disc herniation%spinal endoscope%intervertebral foramen%re-moval of nucleus pulposus%nerve root brisement
目的：探讨脊柱内窥镜下经椎间孔进入椎管行髓核摘除、神经根松解术治疗腰椎间盘突出症的安全性及有效性。方法79例腰椎间盘突出症患者，经椎间孔逐级磨钻扩张至一区，安放工作套管，在脊柱内窥镜下完成髓核摘除、神经根松解术。采用视觉模拟评分法（VAS）评定，临床疗效用改良的MacNab评价方法评定疗效。结果治疗后1~5天，直腿抬高试验及加强试验与治疗前对比有显著性改善（P﹤0.01）；治疗前后1、3、6个月各时段VAS评分，经比较有显著性改善（P﹤0.01）；治疗后1、3、6个月各时段的临床疗效，显效率1个月94.94%、3个月96.20%、6个月96.20%，显示治疗后总有效率98.73%，有明显的统计学意义（P<0.05）。结论脊柱内窥镜技术是一种安全、有效、并发症少、适应症广、复发率低的微创治疗腰椎间盘突出症的新方法。
目的：探討脊柱內窺鏡下經椎間孔進入椎管行髓覈摘除、神經根鬆解術治療腰椎間盤突齣癥的安全性及有效性。方法79例腰椎間盤突齣癥患者，經椎間孔逐級磨鑽擴張至一區，安放工作套管，在脊柱內窺鏡下完成髓覈摘除、神經根鬆解術。採用視覺模擬評分法（VAS）評定，臨床療效用改良的MacNab評價方法評定療效。結果治療後1~5天，直腿抬高試驗及加彊試驗與治療前對比有顯著性改善（P﹤0.01）；治療前後1、3、6箇月各時段VAS評分，經比較有顯著性改善（P﹤0.01）；治療後1、3、6箇月各時段的臨床療效，顯效率1箇月94.94%、3箇月96.20%、6箇月96.20%，顯示治療後總有效率98.73%，有明顯的統計學意義（P<0.05）。結論脊柱內窺鏡技術是一種安全、有效、併髮癥少、適應癥廣、複髮率低的微創治療腰椎間盤突齣癥的新方法。
목적：탐토척주내규경하경추간공진입추관행수핵적제、신경근송해술치료요추간반돌출증적안전성급유효성。방법79례요추간반돌출증환자，경추간공축급마찬확장지일구，안방공작투관，재척주내규경하완성수핵적제、신경근송해술。채용시각모의평분법（VAS）평정，림상료효용개량적MacNab평개방법평정료효。결과치료후1~5천，직퇴태고시험급가강시험여치료전대비유현저성개선（P﹤0.01）；치료전후1、3、6개월각시단VAS평분，경비교유현저성개선（P﹤0.01）；치료후1、3、6개월각시단적림상료효，현효솔1개월94.94%、3개월96.20%、6개월96.20%，현시치료후총유효솔98.73%，유명현적통계학의의（P<0.05）。결론척주내규경기술시일충안전、유효、병발증소、괄응증엄、복발솔저적미창치료요추간반돌출증적신방법。
Objective To discuss the safety and efficacy of the removal of nucleus pulposus and nerve root brisement to treat lumbar intervertebral disc herniation through intervertebral foramen into canalis vertebralis by spinal endoscope technology. Methods 79 cases with lumbar interverte-bral disc herniation,abrasive drilling expanded to one zone step by step,laid working sleeve,then completed the removal of nucleus pulposus and nerve root brisement technique by spinal endo-scope. The clinical therapeutic results were evaluated by VAS assessment and the improved Mac-Nab curative effect standard. Results After treatment for 1-5 days, straight-leg raising test and intensification test showed significant improvement (P<0.01), the hospitalization days were 5-7 days. After 6 months' follow-up, there was no recurrence. There was significant improvement in VAS score in each period before and after treatment 1,3,6 months after comparison (P<0.01). The obvious effective rates after 1,3,6 months' treatment of each period were 94.94%,96.20%, 96.20%. Total effective rate after treatment was 98.73%,showed obviously statistical significance (P<0.05). Conclusion Spinal endoscopic technique was a new method of minimally invasive treat-ment for lumbar intervertebral disc herniation,which was safe,effective,less complications,less indi-cations,low recurrence rate.
