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脊柱内镜技术在脊柱转移瘤中的应用

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目的 探讨脊柱内镜技术在脊柱转移瘤中的应用效果.方法 采用随机数字表法将30例恶性肿瘤伴脊柱转移瘤患者分为干预组(15例,行腰椎椎间孔镜手术)及对照组(15例,行开放手术).比较两组患者围手术期相关指标;比较两组患者术前、术后3天、术后7天、术后14天、出院1个月视觉模拟评分法(VAS)评分、Os-westry功能障碍指数(ODI)评分.结果 干预组患者术中出血量明显少于对照组,术后住院时间明显短于对照组,差异均有统计学意义(P﹤0.01).不同时间两组患者VAS、ODI评分比较,差异均有统计学意义(P﹤0.01).结论 脊柱转移瘤患者采用脊柱内镜技术能够减少术中出血量,缩短术后住院时间,缓解患者疼痛,改善腰椎功能.
Application of spinal endoscopy in spinal metastatic tumor
Objective To investigate the application effect of spinal endoscopy in spinal metastatic tumors.Method A total of 30 cases of malignant tumors with spinal metastasis tumors were divided into intervention group(15 cases,lum-bar foraminoscopic surgery)and control group(15 cases,open surgery)by random number table method.The periopera-tive parameters were compared between the two groups.Visual analogue scale(VAS)score and Oswestry disability index(ODI)score were compared before surgery,3 days after surgery,7 days after surgery,14 days after surgery and 1 month after discharge.Result The intraoperative blood loss in the intervention group was significantly less than that in the con-trol group,and postoperative hospital stay in the intervention group was significantly shorter than that in the control group,the differences were statistically significant(P<0.01).VAS and ODI scores of two groups at different time were statistically significant(P<0.01).Conclusion Spinal endoscopy can reduce intraoperative blood loss,shorten postopera-tive hospital stay,relieve pain and improve lumbar function in patients with spinal metastatic tumors.

spinal endoscopyspinal metastatic tumorapplication effect

魏星、陈乙瑞

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重庆大学附属三峡医院骨科脊柱病区,重庆 4040000

脊柱内镜技术 脊柱转移瘤 应用效果

重庆市万州区科卫联合医学科研项目

wzstckw2021020

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(15)