CAJ | 학술논문

目的：观察经皮椎间孔镜下髓核摘除术（ Percutaneous transforaminai endoscopic discectomy ，PTED）治疗腰椎间盘突出症治疗效果。方法：对21例确诊为单间隙、特殊类型（突出物巨大、脱垂、部分钙化、极外侧型）的腰椎间盘突出症行经皮椎间孔镜下髓核摘除术。所有患者采用数字评分法（ numerical rating scale，NRS）和MacNab标准评估疗效，并分别在术后2个月、术后4个月进行电话随访。结果：NRS由术前8．05±1．01降至术后2个月2．01±0．50（P＝0．01）术后4个月的1．80±0．20（P＝0．00）．术后2个月与4个月的优良率分别达到82．0％和85．0％，术后发生渗血1例足下垂1例，经积极治疗均获得满意恢复。结论：经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症是治疗某些常用微创技术难以奏效的腰椎间盘突出症有效方法，但应严格掌握手术适应症，详细的准备，精准手术通道，精细手术操作，术后正规康复训练是提高疗效关键。
목적：관찰경피추간공경하수핵적제술（ Percutaneous transforaminai endoscopic discectomy ，PTED）치료요추간반돌출증치료효과。방법：대21례학진위단간극、특수류형（돌출물거대、탈수、부분개화、겁외측형）적요추간반돌출증행경피추간공경하수핵적제술。소유환자채용수자평분법（ numerical rating scale，NRS）화MacNab표준평고료효，병분별재술후2개월、술후4개월진행전화수방。결과：NRS유술전8．05±1．01강지술후2개월2．01±0．50（P＝0．01）술후4개월적1．80±0．20（P＝0．00）．술후2개월여4개월적우량솔분별체도82．0％화85．0％，술후발생삼혈1례족하수1례，경적겁치료균획득만의회복。결론：경피추간공경하수핵적제술치료요추간반돌출증시치료모사상용미창기술난이주효적요추간반돌출증유효방법，단응엄격장악수술괄응증，상세적준비，정준수술통도，정세수술조작，술후정규강복훈련시제고료효관건。
Objective:To explore effects and operative techniques of percutaneous transforaminai endoscopic discectomy ( PTED) for treatment of lumber disc herniation .Methods:21 cases were involved in the study .The clinical outcome of PTED was evaluated by numericai rating scales( NRS) and MacNab standard .Results:All of the 21 patints were followed up m 2 months and 11 cases in 4 months .The mean of NRS were dellined form 8.05 ±1.01 to 2.01 ±0.50(at 2 months)(P=0.01) and 1.80 ±0.20 ( at 4 months ) ( P=0.00).There were 83.0%(at 2 months) and 86.0%(in 4 months ).There were 83.0%(in 2 months) and 86.0%(in 4 months ) of cases whose outcomes were excellent and good .Conclusions:Under the condition of carefully and precisely performance, clinical effect of PTED for treatment of lumber disc herniation are satisfactory.