摘要
目的评价脊柱内窥镜下精准减压治疗有根性症状的高龄脊柱侧凸病人的临床效果。方法回顾性分析2018年1月至2018年12月在我院行脊柱内窥镜下精准减压手术治疗的16例有根性症状的高龄脊柱侧凸病人的临床资料,其中男9例,女7例;年龄为(77.13±6.04)岁(71~96岁);9例行侧方椎间孔入路减压神经根松解术,7例行椎板间单侧入路双侧减压神经根松解术。收集病人的手术时间、术后并发症发生情况,收集并比较病人术前、术后6个月随访时的腰痛及下肢痛疼痛视觉模拟量表(visual analogue scale, VAS)评分和Oswestry功能障碍指数(Oswestry disability index, ODI)。结果 16例病人的手术时间为(138.18±27.16)min,随访时间为(8.31±2.02)个月。术前腰痛、下肢放射痛VAS评分和ODI分别为(6.02±0.77)分、(80.50±5.03)%,术后6个月随访时分别为(2.19±0.98)分、(41.25±7.89)%,手术前后数值比较,差异均有统计学意义(t=12.417,P<0.001;t=23.453,P<0.001)。结论对于有根性症状的高龄脊柱侧凸病人,行脊柱内窥镜下精准减压治疗具有手术效果确切、耐受性好、并发症少等优点,可作为有根性症状的高龄脊柱侧凸病人序贯治疗中一种可选择的方案。
Objective To evaluate the clinical effectiveness of precise decompression under the spinal endoscope in the treatment of senile scoliosis with root symptoms. Methods The clinical data of 16 elderly patients with radicular symptoms who underwent precise decompression under the spinal endoscope in our hospital from January 2018 to December 2018 were analyzed retrospectively. There were 9 males and 7 females, and the age was(77.13 ± 6.04) years old(71-96 years old). Among them, 9 patients underwent decompression and nerve root release via the lateral intervertebral foramen, and 7 patients underwent bilateral decompression and nerve root release via the single lateral approach. The operation time and postoperative complications were collected, and the visual pain scale(VAS) score and Oswestry disability index(ODI) before and 6 mouths after operation were collected and compared. Results The operation time was(138.18±27.16)min, and all patients were followed up for(8.31±2.02) months. The VAS score and ODI of low back pain and lower extremity radiation pain before operation were 6.02±0.77,(80.50±5.03)% respectively, and those at 6 th mouth after operation were 2.19±0.98,(41.25±7.89)% respectively, the differences were statistically significant(t=12.417, P<0.001;t=23.453, P<0.001). Conclusion For the elderly patients with radicular symptoms,accurate decompression under the spinal endoscope has the advantages of accurate surgical effect, good tolerance and less complications, which can be used as an alternative in the sequential treatment of the elderly patients with radicular symptoms.
作者
郜顺兴
王芳芳
吴琳琳
冯娟娟
王军
陶晓冰
陈彦平
GAO Shun-xing;WANG Fang-fang;WU Lin-lin;FENG Juan-juan;WANG Jun;TAO Xiao-bing;CHEN Yan-ping(Department of Spine Surgery,Cangzhou Hospital of Traditional Chinese and Western Medicine,Cangzhou 061001,China)
出处
《骨科》
CAS
2020年第4期311-317,共7页
ORTHOPAEDICS
关键词
脊柱侧凸
减压
脊柱内窥镜
手术效果
Degenerative scoliosis
Decompression
Spinal endoscopy
Surgical effectiveness
