改良TESSYS技术治疗腰椎间盘突出伴腰椎管狭窄症的临床研究

Clinical research on improved TESSYS technology in the treatment of lumbar disc herniation and lumbar spinal stenosis

目的:探讨改良TESSYS技术治疗腰椎间盘突出伴腰椎管狭窄症的疗效。方法:选择自2016年11月-2017年6月在我院应用改良TESSYS技术治疗腰椎间盘突出伴腰椎管狭窄症并且随访资料完整的患者30例,比较术前、术后1周、术后1个月、术后6个月的VAS及Oswestry评分。结果:30例患者术后1周、术后1个月、术后6个月随访的VAS和ODI评分均低于术前,相比较有显著统计学意义(P<0.01)。术后1个月、术后6个月随访的VAS和ODI评分与术后1周比较,效果明显改善,有统计学意义(P<0.05),术后1个月与术后6个月随访的VAS和ODI评分比较,无统计学意义(P>0.05)。结论:改良TESSYS技术治疗腰椎间盘突出伴腰椎管狭窄症是一种安全、有效的微创术式,可在临床中进行推广应用。

Objective:To explore the method and clinical effect of modified TESSYS technique in the treatment of lumbar disc herniation and lumbar spinal stenosis.Methods:30 patients were treated with improved TESSYS technique from November 2016 to June 2017 and were followed up,and then VAS and Oswestry score were compared 1 week,1 month and 6 months after operation.Results:Compared with preoperative situation,the score of VAS and Oswestry decreased significantly,the difference was of statistical significance(P<0.01).Compared with 1 week after operation,the score decreased 1 month and 6 month after operation,the difference was statistical significance(P<0.05),there was no statistical significant difference between 1 month and 6 month after treatment(P>0.05).Conclusion:The modified TESSYS technique was a safe and clinical effective minimally invasive surgery for the treatment of lumbar disc herniation and lumbar spinal stenosis and it could be widely used in clinic.