首页|自制新型骨钻应用于L5/S1椎间盘突出症手术的效果

自制新型骨钻应用于L5/S1椎间盘突出症手术的效果

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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L5/S1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L5/S1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.
Effect of a new type of self-made new bone drill applied to L5/S1 intervertebral disc herniation surgery
Objective To investigate the efficacy and safety of a new type of self-made bone drill applied to percutaneous transforaminal endoscopic discectomy for L5/S1 intervertebral disc herniation.Methods The clinical data of 52 patients with L5/S1 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.

lumbar disc herniationpercutaneous transforaminal endoscopic discectomyforaminoplastyself made bone filering saw

赵阳阳、范东娇、樊格林、张健、李博文、聂志红

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邢台市人民医院脊柱骨一科,河北 邢台 054000

邢台市人民医院超声科,河北 邢台 054000

腰椎间盘突出症 经皮椎间孔镜椎间盘切除术 椎间孔成形术 自制骨钻 镜下环锯

2024

局解手术学杂志
重庆市解剖学会,第三军医大学

局解手术学杂志

CSTPCD
影响因子:1.063
ISSN:1672-5042
年,卷(期):2024.33(7)
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