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研究
Study on clinical efficacy and safety of TESSYS technique in the treatment of lumbar disc herniation with ossification of the ligamentum flavum
马蕾 1李松坡 1王福寿 1牛广续1
作者信息
- 1. 833200 新疆生产建设兵团第七师医院
- 折叠
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.
Abstract
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.
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Key words
Transforaminal endoscopic spine system/Lumbar disc herniation/Ossification of the ligamentum flavum/Clinical efficacy/Safety引用本文复制引用
出版年
2024
NETL
NSTL
万方数据