经皮椎间孔镜技术治疗极外侧型腰椎间盘突出症的临床观察
摘要
目的观察经皮椎间孔镜技术治疗极外侧型腰椎间盘突出症的临床疗效。方法自2013-09-2015-02,共收治26例极外侧型腰椎间盘突出症患者,均予以经皮椎间孔镜手术治疗。术后随访2年以上,进行疗效评定。结果 26例患者均顺利完成手术,无一例发生术中神经根或硬膜损伤等并发症。患者手术时间为63-102 min,平均73.6 min;住院时间4-7 d,平均5.1 d。术后即时和不同随访时间,其腰、腿痛的VAS评分均较术前有显著下降(P<0.05)。术后随访2年时,采用改良MacNab疗效评价,26例中,优16例,良7例,可1例,差2例,总优良率为88.5%。结论极外侧型腰椎间盘突出症行经皮椎间孔镜技术治疗,近期疗效良好。
引文
[1]行勇刚,田伟,何达,等.经皮椎间孔镜治疗腰椎神经根孔狭窄的短期疗效观察[J].中国微创外科杂志,2016,16(5):445-448,454.
[2] Vogelsang JP, Maier H. Clinical results and surgical technique for the treatment of extreme lateral lumbar disc herniations:the minimally invasive microscopically assisted percutaneous approach[J]. Zentralblatt für Neurochirurgie,2008,69(1):35-9.
[3]王元,殷世武.极外侧型腰椎间盘突出症的治疗进展[J].介入放射学杂志,2015,(10):928-931.
[4]杨五洲,曹奇,杨铁军,等.经皮椎间孔镜治疗腰椎间盘突出症的临床应用[J].实用医学杂志,2016,32(4):633-635.
[5] Lew SM,Mehalic TF,Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations[J]. Journal of Neurosurgery,2001,94(2 Suppl):216-220.
[6]张伟,陈德玉,杨立利,等.复发性腰椎间盘突出症两种术式的选择及疗效分析[J].中国矫形外科杂志,2013,21(9):883-886.
[2] Vogelsang JP, Maier H. Clinical results and surgical technique for the treatment of extreme lateral lumbar disc herniations:the minimally invasive microscopically assisted percutaneous approach[J]. Zentralblatt für Neurochirurgie,2008,69(1):35-9.
[3]王元,殷世武.极外侧型腰椎间盘突出症的治疗进展[J].介入放射学杂志,2015,(10):928-931.
[4]杨五洲,曹奇,杨铁军,等.经皮椎间孔镜治疗腰椎间盘突出症的临床应用[J].实用医学杂志,2016,32(4):633-635.
[5] Lew SM,Mehalic TF,Fagone KL. Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral and foraminal lumbar disc herniations[J]. Journal of Neurosurgery,2001,94(2 Suppl):216-220.
[6]张伟,陈德玉,杨立利,等.复发性腰椎间盘突出症两种术式的选择及疗效分析[J].中国矫形外科杂志,2013,21(9):883-886.