摘要
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。
Objective：To explore effects and operative techniques of pereutaneous 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. Conehmions ： Under the condition of carefully and precisely performance, clinical effect of PTED for treatment of lumber disc herniation are satisfactory.
出处
《牡丹江医学院学报》
2014年第5期20-22,共3页
Journal of Mudanjiang Medical University
基金
新疆自治区自然科学基金(2011211A059)
关键词
椎间孔镜
髓核摘除术
腰椎间盘突出症
Transforaminai endoscope
Discectomy
lumber disc herniation
Lateral recess.
