摘要
目的 探讨经皮椎间孔脊柱内镜系统(TESSYS)技术治疗腰椎间盘突出症伴黄韧带骨化的临床疗效及安全性。方法 50例腰椎间盘突出症伴黄韧带骨化患者,均采用TESSYS技术进行治疗。比较患者手术前后腰和腿视觉模拟评分法(VAS)评分及Oswestry功能障碍指数(ODI)评分,分析临床疗效。结果 患者术前及术后3 d、3个月、6个月腰VAS评分分别为(6.00±2.06)、(4.25±0.62)、(2.41±0.50)、(1.44±0.56)分,腿VAS评分分别为(6.64±1.75)、(3.79±0.82)、(2.39±0.50)、(1.30±0.53)分;患者术后3 d、3个月、6个月腰和腿VAS评分均低于术前,存在统计学差异(P<0.05)。患者术前ODI评分为(69.56±18.82)分,术后3 d ODI评分为(38.25±10.61)分,术后3个月ODI评分为(25.59±6.81)分,术后6个月ODI评分为(14.48±4.20)分;患者术后3 d、3个月、6个月ODI评分均低于术前,存在统计学差异(P<0.05)。患者末次随访时优36例,良8例,可5例,差1例,优良率为88%。结论 TESSYS技术治疗腰椎间盘突出症伴黄韧带骨化的效果确切,可快速缓解患者腰腿疼痛,恢复神经功能,值得临床推广。
Objective To explore the clinical efficacy and safety of transforaminal endoscopic spine system(TESSYS) technique in the treatment of lumbar disc herniation with ossification of the ligamentum flavum.Methods TESSYS technique was used to treat 50 cases of lumbar disc herniation with ossification of ligamentum flavum.The visual analogue scale(VAS) score for low back and leg pain,and Oswestry Disability Index(ODI)score were compared before and after surgery to analyze the clinical efficacy.Results Preoperatively and at 3 d,3 months and 6 months postoperatively,the VAS scores for low back pain were(6.00±2.06),(4.25±0.62),(2.41±0.50) and(1.44±0.56) points,and the VAS scores for leg pain were(6.64±1.75),(3.79±0.82),(2.39±0.50) and(1.30±0.53) points;the VAS scores for low back and leg pain at 3 d,3 months and 6 months postoperatively were lower than those preoperatively,and there was statistical difference(P<0.05).The ODI score was(69.56±18.82) points preoperatively,(38.25±10.61) points at 3 d postoperatively,(25.59±6.81) points at 3 months postoperatively,and(14.48±4.20) points at 6 months postoperatively.The ODI scores at 3 d,3 months and 6 months postoperatively were lower than that preoperatively,and there was statistical difference(P<0.05).At the last follow-up,36 patients were excellent,8 patients were good,5 patients were fair,and 1 patient was poor,with an excellent and good rate of 88%.Conclusion TESSYS technique is effective in the treatment of lumbar disc herniation with ossification of the ligamentum flavum,and it can quickly alleviate low back and leg pain,restore neurological function,which is worthy of clinical promotion.
作者
马蕾
李松坡
王福寿
牛广续
MA Lei;LI Song-po;WANG Fu-shou(Xinjiang Production and Construction Corps 7th Division Hospital,Kuitun 833200,China)
出处
《中国实用医药》
2024年第22期54-56,共3页
China Practical Medicine
基金
新疆生产建设兵团第七师项目(项目编号:2021A08),项目名称:椎间孔镜微创治疗腰椎间盘突出及部分骨性狭窄临床应用效果评价。
关键词
经皮椎间孔脊柱内镜系统
腰椎间盘突出症
黄韧带骨化
临床疗效
安全性
Transforaminal endoscopic spine system
Lumbar disc herniation
Ossification of the ligamentum flavum
Clinical efficacy
Safety
