摘要
目的:观察经皮脊柱内镜治疗43例椎间盘源性马尾综合征病人的临床疗效。方法:回顾性分析2018年1月至2020年1月经皮脊柱内镜治疗椎间盘源性马尾综合征的43例病人资料,其中男33例,女10例,平均年龄(44.7±10.0)岁。记录病人主要症状、手术时间、术中出血量等,分别于术前、术后1周、1月、3月、6月、1年、2年进行日本骨科学会(Japanese orthpaedic association,JOA)腰痛评分、疼痛视觉模拟评分法(visual analogue scale,VAS)评分和Oswestry功能障碍指数(Oswestry disability index,ODI)评分及影像学资料评估治疗效果。结果:43例病人均顺利完成手术,手术时间(93.6±30.7)min,术中出血量(17.1±6.4)ml。所有病人末次随访(2年)时JOA评分(27.4±1.0)分、VAS评分(0.3±0.5)分、ODI评分(19.3±4.7)分,分别与术前(10.2±4.0)分、(6.8±1.0)分、(62.9±12.4)分相比差异有统计学意义(P<0.05)。结论:经皮脊柱内镜技术可以作为一种治疗椎间盘源性马尾综合征较为安全、有效的策略,值得临床上去进一步研究。
Objective:To determine the clinical effect of percutaneous spinal endoscopy(PSE)on the progression in patients with discogenic cauda equina syndrome(CES).Methods:The clinical subjects consisted of 43 patients(33 males and 10 females;with an average age of 44.7±10.0 years)diagnosed as discogenic CES were followed up for 2 years.The enrollment occurred from January 2018 to January 2020 in Hainan Third people’s Hospital.All patients with discogenic CES underwent spinal endoscopic surgery.Outcomes of the treatment were retrospectively analyzed.The primary outcome of the operation was assessed by the Japanese orthopedic association(JOA)low back pain score,visual analogue scale(VAS),and Oswestry disability index(ODI).Secondary outcomes included operation time,intraoperative blood loss,and imaging data were assessed preoperatively and at 1 week,1 month,3 months,6 months,1 year,2 years postoperatively.Results:All the 43 patients had successful operation.The JOA,VAS and ODI scores at 2 years after the surgery were improved compared with preoperation(JOA 27.4±1.0 vs.10.2±4.0;VAS 0.3±0.5 vs.6.8±1.0;ODI 19.3±4.7 vs.62.9±12.4).The differences were statistically significant(P<0.05).The operation time was(93.6±30.7)min,and the intraoperative blood loss was(17.1±6.4)ml.Conclusion:Percutaneous spinal endoscopy could be regarded as a relatively safe and effective strategy for the treatment of discogenic CES,which is worthy of further clinical study.
作者
荣雪芹
林芳轲
刘洪升
邹海涛
郑庆玲
肖琼润
赵利涛
RONG Xueqin;LIN Fangke;LIU Hongsheng;ZOU Haitao;ZHENG Qingling;XIAO Qiongrun;ZHAO Litao(Department of Pain Treatment and Minimally Invasive Spinal Center,Hainan Third people's Hospital,Sanya 572000,China)
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2021年第8期596-601,共6页
Chinese Journal of Pain Medicine
基金
海南省医药卫生科研项目(20A200176)。
关键词
经皮脊柱内镜
马尾综合征
椎间盘源性
percutaneous spinal endoscopy
cauda equina syndrome
discogenic
