Delta大通道内镜腰椎间盘切除术的临床研究
A clinical study on delta large channel endoscope used for lumbar discectomy
琚顺林 1王聪 1孙建华2
作者信息
- 1. 石河子大学医学院,新疆石河子 832000
- 2. 石河子大学医学院第一附属医院,新疆石河子 832000
- 折叠
摘要
[目的]评价Delta大通道内镜手术治疗腰椎间盘突出症的临床疗效.[方法]回顾性分析2020年1月—2021年10月接受Delta大通道内镜治疗腰椎间盘突出症73例患者的临床资料.评估临床及影像结果.[结果]所有患者手术顺利完成.手术时间平均(78.1±24.0)min,术中透视次数平均(3.3±1.0)次,患者平均随访时间(18.2±5.3)个月.与术前相比,术后3个月和末次随访时腰痛 VAS[(5.6±1.8),(1.8±1.0),(1.1±0.9),P＜0.001]及腿痛 VAS 评分[(7.5±1.5),(1.3±1.0),(1.1±0.8),P＜0.001]、ODI[(70.3±15.7),(15.2±10.3),(7.6±6.0),P＜0.001]、JOA 评分[(10.3±3.3),(20.9±2.0),(23.8±3.3),P＜0.001]均显著改善.影像方面,与术前相比,末次随访时腰椎前凸角度无显著变化(P＞0.05),但是椎间盘高度指数[(26.6±4.9)％,(28.2±5.2)％,P＜0.001]显著增加.[结论]Delta大通道内镜治疗腰椎间盘突出症的疗效总体满意,可作为临床上治疗腰椎间盘突出症的微创手术方式.
Abstract
[Objective]To evaluate the clinical efficacy of discectomy under delta large channel endoscope in the treatment of lumbar disc herniation.[Methods]A retrospective study was conducted on 73 patients who received the large-channel endoscopic discectomy for lumbar disc herniation from January 2020 to October 2021.The clinical and imaging data were evaluated.[Results]All the patients were successfully operated with the average operative time of(78.1±24.0)min,intraoperative fluoroscopy of(3.3±1.0)times,and followed up for(18.2±5.3)months.Compared with those preoperatively,back pain VAS[(5.6±1.8),(1.8±1.0),(1.1±0.9),P＜0.001],leg pain VAS score[(7.5±1.5),(1.3±1.0),(1.1±0.8),P＜0.001],ODI[(70.3±15.7),(15.2±10.3),(7.6±6.0),P＜0.001],JOA score[(10.3±3.3),(20.9±2.0),(23.8±3.3),P＜0.001]significantly improved 3 months postoperatively and at the last follow-up.Radiographically,the lumbar lordosis remained unchanged at the last follow-up compared with that before surgery(P＞0.05),but the intervertebral disc height index increased significantly[(26.6±4.9)％,(28.2±5.2)％,P＜O.OO1].[Conclusion]The delta endoscopy achieves generally satisfactory consequences in the treatment of lumbar disc herniation,and is a minimally invasive surgical method.
关键词
腰椎间盘突出症/Delta大通道脊柱内镜/椎间盘切除术Key words
lumbar disc herniation/delta large-channel spinal endoscope/discectomy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据