经椎间孔入路脊柱内镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出的临床研究

Transforaminal endoscopic lumbar discectomy for far lateral lumber disc herniation:a clinical study

目的探讨经椎间孔入路脊柱内镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出(FLLDH)的临床疗效。方法回顾性分析2020年1月至2021年12月通过采用经椎间孔内镜下腰椎间盘切除术治疗FLLDH的24例患者,对比分析术前、术后1 d、术后3个月,以及末次随访时腰腿痛视觉模拟评分法(VAS)评分与Oswestry功能障碍指数(ODI)问卷表。采用末次随访改良MacNab评价标准评估疗效。结果24例患者均成功完成了手术及12~30个月的随访,平均随访时间为19.79个月,术后1 d、术后3个月及末次随访腰痛及腿痛VAS评分与ODI较术前均有改善,差异均有统计学意义(P<0.05)。术后24例患者中优17例、良4例、一般3例。其优良率为87.5%。结论经椎间孔内镜下腰椎间盘切除术治疗FLLDH是一种安全、有效的手术方式。

Objective To investigate the clinical effect of transforaminal endoscopic lumbar discectomy for far lateral lumber disc herniation(FLLDH).Methods From January 2020 to December 2021,a total of 24 patients with FLLDH were treated by transforaminal endoscopic lumbar discectomy.Visual analogue scale(VAS)scores and Oswestry disability index(ODI)were compared and analyzed before operation,one day after operation,three months after surgery,and at the last follow-up.The modified MacNab evaluation criteria were used to evaluate the efficacy in the last follow-up.Results All of the 24 patients successfully completed operation and 12-30 months follow-up with an average of 19.79 months.The VAS score and ODI were improved one day after operation,three months after operation,and at the last follow-up,with statistically significant differences(P<0.05).Among the 24 patients,excellent in 17 cases,good in four cases and average in three cases.The excellent and good rate was 87.5%.Conclusion Transforaminal endoscopic lumbar discectomy for FLLDH is a safe and effective operation.