经皮椎间孔镜下TESSYS技术治疗游离型腰椎间盘突出症

Treatment of patients with free lumbar disc herniation by TESSYS technique

目的探讨经皮椎间孔镜下TESSYS技术并椎间孔成形术治疗游离型腰椎间盘突出症(LDH)的疗效。方法采用经皮椎间孔镜下TESSYS技术并椎间孔成形术治疗80例游离型LDH患者,通过ODI评分与VAS评分对治疗效果进行评估。结果手术时间为37～75(57. 8±14. 8) min,术中出血量为29～51(39. 8±7. 2)ml。患者均未出现椎旁血肿、伤口感染以及神经损伤等并发症。患者均获得12个月的随访。患者VAS评分和ODI评分术后3 d及1、3、6、12个月各时间点均较术前显著下降(P <0. 05),并且术后1、3、6、12个月均较术后3 d进一步降低(P <0. 05)。结论经皮椎间孔镜下TESSYS技术并椎间孔成形术治疗游离型LDH近期疗效显著。

ObjectiveTo investigate the clinical efficacy of percutaneous transforaminal endoscopic TESSYS technique and intervertebral foramen plasty for the treatment of free lumbar disc herniation(LDH).MethodsThe 80 cases of free LDH patients were treated with endoscopic TESSYS technique and intervertebral foramen plasty.The therapeutic effects of ODI and VAS were evaluated.ResultsThe operation time was 37~75(57.8±14.8)min,and the intraoperative blood loss was 29~51(39.8±7.2)ml.None of the patients had complications such as paraspinal hematoma,wound infection,and nerve injury.All patients were followed up for 12 months.The VAS and ODI scores of patients at 3 d,1,3,6,12 months after surgery were significantly decreased than those before surgery(P<0.05),and were significantly lower at 1,3,6,12 months than 3 d after surgery(P<0.05).ConclusionsPercutaneous transforaminal endoscopic TESSYS and intertebral foramen plasty for the treatment of free LDH has a significant short-term effect.