CAJ | 학술논문

目的：观察单通道经椎间孔途径（TESSYS）经皮椎间孔镜技术诊治不典型腰椎间盘突出症的临床疗效。方法：应用TESSYS技术诊治不典型腰椎间盘突出症患者18例，术前、术后即刻及1、3个月采用数字评分（NRS）评价腰腿痛，评估术前、术后末次随访Oswestry功能障碍指数（ODI），改良MacNab标准判定疗效。结果：术后NRS评分均较术前显著降低（P＜0．01）；术后末次ODI明显低于术前（P＜0．05）；术后MacNab优良率为88．89％（16／18）。1例术后右骶尾部出现疼痛，局部封闭后缓解；1例术后下肢疼痛无改善且肌力减退，1周后行开放手术。结论：TESSYS技术可有效诊治不典型腰椎间盘突出症，临床效果比较满意，值得临床推广。
목적：관찰단통도경추간공도경（TESSYS）경피추간공경기술진치불전형요추간반돌출증적림상료효。방법：응용TESSYS기술진치불전형요추간반돌출증환자18례，술전、술후즉각급1、3개월채용수자평분（NRS）평개요퇴통，평고술전、술후말차수방Oswestry공능장애지수（ODI），개량MacNab표준판정료효。결과：술후NRS평분균교술전현저강저（P＜0．01）；술후말차ODI명현저우술전（P＜0．05）；술후MacNab우량솔위88．89％（16／18）。1례술후우저미부출현동통，국부봉폐후완해；1례술후하지동통무개선차기력감퇴，1주후행개방수술。결론：TESSYS기술가유효진치불전형요추간반돌출증，림상효과비교만의，치득림상추엄。
Objective To observe the clinical effect of transforaminal endoscopic surgical system (TESSYS) technique for atypical lumbar disc herniation. Methods Eighteen patients with atypical lumbar disc herniation underwent TESSYS technique under local anesthesia. Numerical rating scale (NRS) was used to evaluate the sciatica and/or back pain. The outcomes were evaluated by Oswestry disability index (ODI) and the Macnab score. Results The postoperative NRS scales were significantly lower than preoperative one (P<0.01). The postoperative ODI was lower than preoperative one (P < 0.05). Good rate of modified Macnab criteria was 88.89%. One patient occurred right hip pain and disappeared after partial closure. one patient turned to open surgery at 1 week. Conclusion The TESSYS technique was an effective method for atypical lumbar disc herniation. It has satisfactory clinical effect which is worthy of spreading for clinical application.