摘要
目的:观察椎间孔镜BEIS技术治疗头侧移位型高位腰椎间盘突出症的临床效果。方法:纳入2016年5月至2020年3月行椎间孔镜BEIS技术治疗的头侧移位型高位腰椎间盘突出症患者28例。记录手术时间、相关并发症,采用视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)、腰椎JOA评分和改良MacNab标准评价手术疗效。结果:28例患者手术时间平均(61.56±13.79)min,2例患者出现患侧下肢一过性疼痛,保守治疗3周内均完全恢复。术后各时间点VAS、ODI较术前显著降低,而JOA较术前显著升高,差异有统计学意义(P<0.05)。根据改良的MacNab标准,术后各时间点优良率与术前相比显著提高,差异有统计学意义(P<0.001)。末次随访优22例,良5例,可1例,差0例,优良率为96.43%。结论:椎间孔镜BEIS技术是治疗头侧移位型高位腰椎间盘突出症的安全、有效、切实可行的手术方法。
Objective:To investigate the clinical efficacy of BEIS technique on the treatment of upward migration of upper lumbar disc herniation.Methods:28 patients with upward migration of upper lumbar disc herniation who underwent endoscopic BEIS technique from May 2016 to March 2020 were included.The operation time and related complications were recorded.Visual analogue scale(VAS),Oswestry disability index(ODI),lumbar JOA score and modified MacNab criteria were used to evaluate the efficacy of surgery.Results:The average operation time of 28 patients was(61.56 ± 13.79) min.VAS and ODI were significantly decreased at each time point after operation,while JOA was significantly increased,and the difference had statistical significance(P<0.05).According to the modified MacNab criteria,the excellent and good rate at each time point after operation was significantly higher than that before operation,and the difference had statistical significance(P<0.001).The last follow-up results were:excellent in 22 cases,good in 5 cases,fair in 1 case and poor in 0 case,with an excellent and good rate of 96.43%.Conclusion:BEIS technique is a safe,effective and feasible method to treat the upward migration of upper lumbar disc herniation.
作者
李跃华
刘奕
LI Yuehua;LIU Yi(Shenzhen Bao’an District People’s Hospital,Shenzhen 518101,Guangdong China;Guangzhou Panyu Hospital of TCM,Guangzhou 511400,China.)
出处
《中国中医骨伤科杂志》
CAS
2022年第4期62-66,共5页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
椎间孔镜
头侧移位型腰椎间盘突出
高位腰椎间盘突出
经皮脊柱内镜
percutaneous transforaminal endoscopic
up-migrated lumbar disc herniation
upper lumbar disc herniation
percutaneous spinal endoscope
