摘要
目的:分析和评价椎间孔镜结合"大-小-大"环锯技术治疗单节段老年性腰椎管狭窄症的临床疗效。方法:选取单节段老年性腰椎管狭窄症患者60例,采用椎间孔镜结合"大-小-大"环锯技术进行治疗,术前、术后、随访时记录VAS评分,采用Macnab标准评价疗效。结果:所有患者均顺利完成手术,随访3~6个月。VAS评分:术前(8.73±0.85)分,术后1周(1.61±0.88)分,末次随访(1.12±0.54)分,手术前后差异具有统计学意义(P<0.05);Macnab疗效评定:优52例,良6例,可2例,差0例,优良率96.7%。结论:椎间孔镜结合"大-小-大"环锯技术治疗单节段老年性椎管狭窄症安全、有效、术后恢复快,选择合理的手术适应证,严格把握禁忌证和成熟的手术技巧,是手术成功的关键。
Objective：To analysis the clinical efficacy of intervertebral foramen mirror combination 〈4big - small - bigwtrephine technique in treating single segment of senile lumbar spinal stenosis disease. Method ： Using intervertebral foramen mirror with M big - small - bigH trephine technique to treat 60 cases of elderly single segmental lumbar spinal stenosis disease, record preoperative, postoperative and fol-low -up VAS score, Using Macnab criteria to evaluate the curative effect. Result： All surgeries were completed successfully, followed up for 3 to 6 months, VAS score： preoperative（8.73 ± 0.85） ,a week after surgy（1 . 61 ± 0. 88 ）,final follow - up（1.12 ± 0. 54）,the difference was statistically significant before and after operation （P 〈 0. 05）. Macnab criteria： excllent： 52 cases,good： 6 cases, approve： cases, bad ：0 case, excellence rate ： 9 6 .1% . Conclusion ： Using intervertebral foramen mirror with H big - small - big＂ trephine technique to treat elderly single segmental lumbar spinal stenosis disease is safety, effectivity and quicker recovery. Select reasonable surgical indications, strictly grasp the contraindications and mature surgical techniques is the key to the success of the operation.
出处
《江西中医药大学学报》
2017年第3期54-56,共3页
Journal of Jiangxi University of Chinese Medicine
关键词
椎间孔镜
环锯技术
腰椎管狭窄症
单节段
Intervertebral Foramen Mirror
Trephine Technique
Lumbar Spinal Stenosis Disease
Single Segment.
