TESSYS椎间孔镜治疗腰椎间盘突出症的近期疗效分析

An Analysis of the Recent Effect of Percutaneous Transforaminal Endoscopic Discectomy in the Treatment of Lumbar Disc Herniations

目的:评价TESSYS经皮椎间孔镜治疗腰椎间盘突出症的疗效。方法:通过大理市第一人民医院骨科自2015年6月至2017年3月应用经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症共23例,疗效评估采用VAS疼痛评分和改良Macnab疗效评定标准评定,入院时和椎间孔镜术后(术后当时、1个月、3个月及6个月),评估经皮椎间孔镜技术(PTED)治疗腰椎间盘突出症的疗效和安全。结果:术后当时、术后1个月、3个月、6个月VSA评分分别为(1.09±0.85)、(1.00±0.67)、(0.91±0.60)、(1.04±0.70),均显著低于术前的(6.00±0.91)(P均<0.05),根据改良Macnab疗效评定优17例,良3例,可3例,术后优良率均为86.96%。结论:TESSYS经皮椎间孔镜治疗腰椎间盘突出症安全、有效,掌握适应症是手术成功与疗效的保障。

Objective:To assess the recent curative effects of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniations.Methods:23patients(Jun2015to March2017)were treated with percutaneous transforaminal endoscopic discectomy,and their postoperative improvements were evaluated according to the visual analogue scale(VAS)and the modified MacNab criterion.Results:The mean pain scores before the treatment and at one,three and six months after the treatment were(1.09±0.85)(,1.00±0.67)(,0.91±0.60)and(1.04±0.70),respectively,which was obviously lower than(6.00±0.91)before the treatmen(t P<0.05).According to the modified criterion for grading result,86.96%of these patients had excellent outcomes after the treatment.Conclusion:Percutaneous transforaminal discectomy is safe and effective,and whether to master the indications or not is the guarantee for a successful operation and the following curative effects.