摘要
目的研究经皮颈后路应用椎间孔镜治疗神经根型颈椎病根性疼痛近期治疗效果及安全性。方法回顾临汾市人民医院脊柱外科2018年1月至2020年1月收治的11例神经根型颈椎病的患者,均行椎间孔镜下颈椎间盘摘除神经根松解术,对比术前及末次随访时根性疼痛视觉模拟评分(VAS)、腰痛功能评价表(JOA)、颈椎残障指数(NDI)等。结果随访时间(10.3±2.7)个月,所有病例均不伴有脊髓、神经根、血管的损伤,术后根性疼痛均较术前缓解,神经功能均较前改善。VAS评分、JOA评分、NDI评分末次随访时分别为(1.2±0.8、16.4±0.6、9.5±3.6),较同组术前的(6.5±2.0、12.5±1.2、40.8±5.0)有显著改善,差异均有统计学意义(P均<0.05)。结论经皮颈后路椎间孔镜下突出颈椎间盘摘除术治疗神经根型颈椎病的根性疼痛近期效果满意,且安全。
Objective To study the short-term efficacy and safety of percutaneous posterior cervical foraminoscopy in the treatment of patients with cervical radiculopathic pain.Methods A total of 11 patients with cervical spondylotic radiculopathy,admitted to Department of Spine Surgery,Linfen People's Hospital from January 2018 to January 2020,were reviewed.All patients received cervical discectomy and nerve root release under interforaminal endoscopy,and the root pain VAS score,JOA score and NDI score were compared before the operation and at the last follow-up.Results The follow-up time was(10.3±2.7)months.No injury of spinal cord,nerve root or blood vessel was observed in all cases.The root pain was relieved and the nerve function was improved after the operation.The VAS,JOA and NDI were much better at the last follow-up(1.2±0.8,16.4±0.6 and 9.5±3.6)respectively than that preoperative(6.5±2.0,12.5±1.2 and 40.8±5.0)(P<0.05)respectively.Conclusion Percutaneous posterior cervical foraminoscopy has a satisfactory short-term efficacy for the treatment of root pain in radiculopathic cervical spondylosis.
作者
张亚宁
孙光伟
Zhang Yaning;Sun Guangwei(Department of Spine Surgery,Linfen People's Hospital,Linfen City,Shanxi Province 041000,China)
出处
《中华疼痛学杂志》
2023年第6期951-956,共6页
Chinese Journal Of Painology
基金
山西省卫生健康委员会"四个一批"科技兴医创新计划项目(2020XM51)。
关键词
颈椎骨
神经根病
疼痛
椎间孔镜
微创
Cervical
Radiculopathy
Pain
Foraminal lens
Minimally invasive