经皮椎间孔镜治疗高龄腰椎管狭窄患者的疗效分析被引量：3

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摘要目的:评价经皮椎间孔镜技术经背侧向腹侧减压结合椎间孔成型治疗高龄腰椎管狭窄患者的临床效果。方法:腰椎管狭窄的高龄患者38例,L4/L5间隙20例,L5/S1间隙8例,L3/L4间隙6例,L2/L3间隙2例,L3/L4/L5双间隙1例,L4/L5/LS1双间隙1例。病程9~37个月,平均13.8个月,均采用经皮椎间孔镜技术治疗。结果:38例患者VAS疼痛评分术前为(8.2±1.4)分,术后1天为(2.3±0.9)分,术后3个月为(2.1±1.1)分,术前、术后差异具有统计学意义(P<0.05),术后1天与术后3月差异无统计学意义(P>0.05)。术后3个月改良Macnab疗效评定30例为优,8例为良。结论:运用经皮椎间孔镜技术经背侧向腹侧减压结合椎间孔成型治疗有典型根性症状的腰椎管狭窄高龄患者,手术微创、安全,效果良好,手术者需要掌握合理的手术适应证,具有开放性手术经验和良好的椎间孔镜技术。

作者孟庆兵张文生李剑王四清王栋梁仓定伟郑闽前

机构地区盐城市第一人民医院骨科脊柱外科

出处《交通医学》 2017年第5期444-447,共4页 Medical Journal of Communications

关键词腰椎椎间孔镜减压椎管狭窄老年人

分类号 R681.5 [医药卫生—骨科学]

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参考文献2

1张德辉,朱显科,左新成,张智慧,黄昌林.经皮椎间孔镜治疗高龄腰椎椎间盘突出并神经根管狭窄的短期疗效[J].脊柱外科杂志,2015,13(1):24-27. 被引量：22
2周跃.经皮椎间孔内窥镜技术的现状与未来[J].中国脊柱脊髓杂志,2009,19(5):326-328. 被引量：83

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