椎间孔镜一孔多间隙处理多节段间盘突出的临床疗效观察

doi:10.13418/j.issn.1001-165x.2019.02.018

中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (2): 206-209.doi: 10.13418/j.issn.1001-165x.2019.02.018

椎间孔镜一孔多间隙处理多节段间盘突出的临床疗效观察

孙建磊^1，3，　崔新刚²

1.济南大学山东省医学科学院医学与生命科学学院，济南 250022； 2.山东大学附属山东省立医院
脊柱外科, 济南 250021； 3.新泰市人民医院，山东新泰 271200

收稿日期:2018-10-01 出版日期:2019-03-25 发布日期:2019-04-29
通讯作者: 崔新刚，博士，主任医师，博士生导师，E-mail：like6968504@163.com
作者简介:孙建磊（1980-），男，在职研究生，主治医师，主要研究方向为脊柱外科，E-mail：Docsjl@163.com

Clinical effect on the treatment of multi-level lumbar disc herniation with one hole percutaneous endoscopic technique

SUN Jian-lei，CUI Xin-gang

1.Ji’nan University and Shandong Academy of Medical Sciences，Ji’nan, Shandong 250022; 2. Department of Spinal Surgery， Shandong University, Shandong Provincial Hospital, Ji`nan 250021 3.Xintai People`s Hospital, Xintai 271200,Shandong Province, China

Received:2018-10-01 Online:2019-03-25 Published:2019-04-29

摘要/Abstract

摘要：

目的　探讨椎间孔镜一孔多间隙处理多节段腰椎间盘突出的临床疗效与安全性。方法　统计自2014年1月至2018年5月多节段腰椎间盘突出患者共26例，均在局麻下采用经皮椎间孔镜一孔多间隙手术治疗，分别对患者进行术前、术后3个月、术后6个月、术后1年随访，观察患者治疗后的临床疗效及安全性，Oswestry功能障碍指数（ODI）、JOA评分、VAS评分、NaKai优良率。结果　患者NaKai优良25例，术后复发1例，无效0例，总优良率为96.2%。术前 JOA评分（5.18±0.28）与术后1周 JOA评分（28.24±0.26），差异有统计学意义（P<0.01）。术前VAS评分（6.18±0.28），术后3个月评分（3.24±0.46），术后6个月评分（2.64±1.27），术后1年评分为（1.44±1.16）。术后3个月到1年VAS评分较术前评分明显降低，有统计学意义（P≤0.05）。ODI术前与术后差异有统计学意义（P<0.05）。术后26例患者下腰部疼痛及下肢麻木、疼痛均得到明显缓解，术中切口小，出血少，术后住院时间短，下床活动时间早，生活质量得到明显提高。结论　经皮椎间孔镜一孔多间隙治疗多节段腰椎间盘突出，创伤小，安全有效，值得临床推广应用。

关键词: 椎间孔镜, 　多节段, 　腰椎间盘突出

Abstract:

Objective To discuss the clinical curative effect and safety on the treatment for multi-level lumbar disc herniation with one hole percutaneous endoscopic technique. Methods 26 patients，from January 2014 to July 2018，diagnosed as multi-level lumbar disc herniation，were observed. All patients were treated with the one hole percutaneous endoscopic technique under the local anesthesia. The Oswestry disability index (ODI), visual analogue scale (VAS) and NaKai excellent rate preoperative，6 months after surgery and 1year after surgery were used to analyze clinical curative effect and security. Results 25 patients got NaKai excellent, 1 patient got relapse, and 0 patient inefficacy. Total NaKai excellent rate was 96.2%. VAS score was（6.18±0.28）preoperatively, (3.24±0.46) 3 months after surgery, and（2.64±1.27）6 months after surgery, and (1.44±1.16) 1 year after surgery. The VAS score was significantly lower than the preoperative score from 3 months to 1 year after surgery. The difference was statistically significant. The difference between preoperative and postoperative ODI was statistically significant（P<0.05）. Postoperative lumbar pain and lower limb numbness and pain were alleviated in 26 patients. Intraoperative small incision, less bleeding, short postoperative hospital stay, early time to go to the ground, and quality of life got improved. Conclusion Treatment of multi-segment lumbar disc herniation with one hole percutaneous endoscopic technique shares the advantage of being less traumatic, safe and effective, making it worthy of clinical application and promotion.

Key words: Percutaneous intervertebral foramen endoscopic; , Multi-segment; , Lumbar disc herniation

孙建磊,崔新刚. 椎间孔镜一孔多间隙处理多节段间盘突出的临床疗效观察[J]. 中国临床解剖学杂志, 2019, 37(2): 206-209.

SUN Jian-lei，CUI Xin-gang. Clinical effect on the treatment of multi-level lumbar disc herniation with one hole percutaneous endoscopic technique[J]. Chinese Journal Of Clinical Anatomy, 2019, 37(2): 206-209.

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椎间孔镜一孔多间隙处理多节段间盘突出的临床疗效观察

Clinical effect on the treatment of multi-level lumbar disc herniation with one hole percutaneous endoscopic technique

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