TESSYS技术治疗极外侧腰椎间盘突出症的效果

Efficacy of TESSYS technique in treating far lateral lumbar disc herniation

回顾性分析TESSYS技术治疗极外侧腰椎间盘突出症的效果。选择2017年6月至2019年6月进行手术的极外侧腰椎间盘突出症患者作为F组,选取同时期中央型或旁中央型腰椎间盘突出症患者作为L组,性别不限,年龄51~66岁。2组患者术前2或3 d时在超声引导下行选择性神经根阻滞明确责任椎间盘。采用TESSYS技术行椎间盘突出物摘除术。分别于术前1 d、术后3 d、1个月、3个月及6个月时采用VAS评价疼痛程度。分别于术前1 d及术后6个月时,采用Oswestry功能障碍指数评定患者功能情况。术后6个月时采用Macnab分级评价疗效。与L组比较,F组术后各时点VAS评分、术后6个月时Oswestry功能障碍指数和Macnab分级差异无统计学意义(P>0.05)。TESSYS技术可用于极外侧腰椎间盘突出症的治疗。

The efficacy of TESSYS technique in treating the far lateral lumbar disc herniation was analyzed retrospectively.From June 2017 to June 2019,11 patients with far lateral lumbar disc herniation underwent surgery were selected as F group,and 13 patients with central or paracentral lumbar disc herniation were selected as L group,regardless of gender,with the age of 51-66 yr.Preoperative selective nerve root block was performed under the guidance of ultrasound to determine the diseased disc,and then discectomy was performed using TESSYS technique in both groups.Pain was assessed using Visual Analogue Scale score at l day before surgery and 3 days and 1,3 and 6 months after surgery.Patient′s function was assessed by using the Oswestry Disability Index at l day before surgery and 6 months after surgery.The therapeutic effect was evaluated using the modified Macnab criteria at 6 months after surgery.Compared with group L,no significant change was found in Visual Analogue Scale scores at each time point after surgery,Oswestry Disability Index scores at 6 months after surgery,and Macnab outcome grade at 6 months after surgery in group F(P>0.05).In conclusion,TESSY technique can be used to treat the far lateral lumbar disc herniation.