摘要
目的探讨经皮椎间孔镜椎间盘切除术中应用自制新型骨钻治疗L_(5)/S_(1)椎间盘突出症的有效性及安全性。方法回顾性分析我院收治的52例L_(5)/S_(1)椎间盘突出症患者的临床资料,患者均行经皮椎间孔镜椎间盘切除术治疗,术中均使用自制新型骨钻行椎间孔成形。记录手术情况及并发症发生情况。术前、术后3 d、术后3个月、术后6个月及术后1年采用视觉模拟量表(VAS)评估患者疼痛情况;采用Oswestry功能障碍指数(ODI)评价手术前后神经功能改善情况。结果所有患者手术均顺利完成,未发生严重并发症,术后均未出现复发。术后3 d、术后3个月、术后6个月及术后1年患者VAS、ODI评分均较术前显著降低(P<0.05)。结论自制新型骨钻可明显提高椎间孔成形效率,保证手术安全性,早期临床效果满意。
Objective To investigate the efficacy and safety of a new type of self-made bone drill applied to percutaneous transforaminal endoscopic discectomy for L_(5)/S_(1) intervertebral disc herniation.Methods The clinical data of 52 patients with L_(5)/S_(1) intervertebral disc herniation admitted to our hospital were retrospectively analyzed.All patients underwent percutaneous transforaminal endoscopic discectomy,with a new type of self-made bone drill for foraminoplasty during the surgery.The surgical conditions and occurrence of complications were recorded.The pain of patients before surgery,3 days after surgery,3 months after surgery,6 months after surgery,and 1 year after surgery was assessed by visual analogue scale(VAS);and the neurological function improvement before and after surgery was evaluated by Oswestry disability index(ODI).Results All patients underwent successful surgery without serious complications or recurrence after surgery.The VAS and ODI scores of patients 3 days,3 months,6 months,and 1 year after surgery were significantly lower than those before surgery(P<0.05).Conclusion The self-made new bone drill can significantly improve the efficiency of foraminoplasty and ensure surgical safety,with satisfactory early clinical effect.
作者
赵阳阳
范东娇
樊格林
张健
李博文
聂志红
ZHAO Yang-yang;FAN Dong-jiao;FAN Ge-lin;ZHANG Jian;LI Bo-wen;NIE Zhi-hong(First Department of Spine and Orthopedics,Xingtai People's Hospital,Xingtai Hebei 054000,China;Department of Ultrasound,Xingtai People's Hospital,Xingtai Hebei 054000,China)
出处
《局解手术学杂志》
2024年第7期610-613,共4页
Journal of Regional Anatomy and Operative Surgery
