摘要
目的探讨经皮内窥镜技术治疗老年多节段腰椎管狭窄症的可行性及临床疗效。方法回顾性分析老年多节段腰椎管狭窄症且责任节段定位不明确的患者30例，以侧隐窝狭窄或椎间孔狭窄为主的节段给予经皮椎间孔入路内窥镜下腰椎管减压治疗，而以中央椎管狭窄为主的节段则采用经皮椎板间入路内窥镜下腰椎管减压治疗。结果27例（90%）患者进行了双节段手术，3例（10％）患者进行了三手术节段；评估视觉模拟评分法、日本骨科学会评分、功能障碍指数结果显示：经皮椎间孔镜术后3d及1年时较入院时均有明显改善（P〈0．05）。结论经皮内窥镜技术治疗老年多节段腰椎管狭窄症具有较好的临床疗效及应用前景。
Objective To evaluate the feasibility and clinical effects of percutaneous endoscopic technique in treating multi-segmental lumbar spinal stenosis in the elderly. Methods Thirty elderly patients with multi-segmental lumbar spinal stenosis and an indefinite positioning of duty segments were retrospectively analyzed. Based on treatment mode of the stenotic segment of lumbar spine, all patients were divided to two groups. The segments of lateral recess or foraminal stenosis were treated with percutaneous endoscopic decompression via the transforaminal approach, while the segments of central stenosis were treated with percutaneous endoscopic decompression via the interlaminar approach. Results Twenty-seven （90%） patients were treated in double segments and three patients （10%） were treated in three segments. There were significant improvements in Visual Analogue Scale,Japanese Orthopaedic Association and Oswestry disability index scores at 3 day and 1 year after therapy as compared with pre-therapy （both P 〈 0. 05）. Conclusions Percutaneous endoscopic technique is safe and effective in the treatment of elderly multi-segmental lumbar spinal stenosis.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2017年第12期1349-1352,共4页
Chinese Journal of Geriatrics
基金
浙江省自然科学基金（LY17H060001）
关键词
经皮内窥镜技术
多节段
腰椎管狭窄症
Percutaneous endoscopic technique
Multi segmental
Lumbar spinal stenosis
