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大通道内镜全可视环锯技术辅助手术治疗腰椎管狭窄症的疗效 被引量:2

The effect of large channel endoscopic full visible trephine assisted surgery in the treatment of lumbar spinal stenosis
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摘要 目的探讨大通道内镜全可视环锯技术辅助单侧椎板间入路双侧椎管减压(ULBD)治疗腰椎管狭窄症的疗效。方法采用大通道内镜全可视环锯技术辅助ULBD治疗50例腰椎管狭窄症患者。记录手术时间、住院时间及术后并发症发生情况,采用疼痛VAS评分、ODI评价腰椎功能,根据改良MacNab标准评价疗效。结果患者均获得随访,时间3~15个月。患者均顺利完成手术,手术时间50~80 min,住院时间5~7 d。切口均一期愈合,术后未发生神经根、硬膜损伤等并发症。术后5 d及3个月疼痛VAS评分、ODI均较术前降低(P<0.01)。术后3个月根据改良MacNab标准评定疗效:优42例,良7例,可1例,优良率98%。结论大通道内镜全可视环锯技术辅助ULBD治疗腰椎管狭窄症可缓解患者症状,并发症少,疗效满意。 Objective To investigate the effect of unilateral laminotomy for bilateral decompression(ULBD)assisted by large channel endoscopic full visible trephine in the treatment of lumbar spinal stenosis.Methods The 50 cases of lumbar spinal stenoses were treated with ULBD assisted by large channel endoscopic full visible trephine.The operation time,hospital stay time and complications were recorded.The lumbar function was evaluated by pain VAS and ODI,and the curative effect was evaluated by modified MacNab standard.Results All patients were followed up for 3~15 months.All the patients were successfully completed the operation,the operation time was 50~80 min,and the hospitalization time was 5~7 d.All incisions healed in one-stage,and no complications such as nerve root and dural injury occurred.At 5 d and 3 months after surgery,the pain VAS and ODI were decreased than those before surgery(P<0.01).Three months after operation,according to the modified MacNab standard,the curative effect was excellent in 42 cases,good in 7,fair in 1,with an excellent-good rate of 98%.Conclusions The treatment of lumbar spinal stenosis with ULBD assisted by large channel endoscopic full visual visible trephine technique can relieve the clinical symptoms,with fewer complications and satisfactory efficacy.
作者 刘相英 刘建军 LIU Xiang-ying;LIU Jian-jun(Dept of Spine,Huaxian Orthopaedic Hospital,Anyang,Henan 456485,China)
出处 《临床骨科杂志》 2023年第6期774-777,共4页 Journal of Clinical Orthopaedics
关键词 腰椎管狭窄症 内镜 可视环锯 lumbar spinal stenosis endoscopy visible trephine
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