经皮椎间孔镜术治疗腰椎间盘突出症的近期疗效

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Abstract Objective To observe the preliminary outcomes of percutaneous transforaminal endoscopic discectomy(PTED) in lumbar disc herniation.Methods From March 2013 to June 2014,104 patients with lumbar disc herniation were treated with PTED.A total of 102 cases,64 males and 38 females,aged from 17 to 72 years,averaged(52.3±16.4)years were followed up for 12 months.Using the visual analogue score( VAS),we evaluated preoperatively, 2 days after operation, 6 months and 12 months after postoperative lumbocrural pain relief.Oswestry DisabiIity Index(ODI) and improved MacNab criteria were observed at the time of the preoperation and 12 months postoperation to assess the clinical efficacy.Results 102 patients were followed up for 12 months.The back pain scores before and after treatment,at 2 days,6 and 12 months after treatment and at the final follow-up were kept,respectively.The leg pain scores before and after treatment,at 2 days,6 and 12 months after treatment and at the final follow-up were kept,respectively. All there scores increased significantly compared with their preoperative ones (P<0.01).The 12 months postoperative follow-up ODI indexwas(11.2±2.3) , lower than the preoperative(68.8 114.6), (P<0.01).According to modified MacNab criteria for grading Results,95.1％ of these patients had excellent and good outcomes at 12 months after treatment.Two patients had recurrenceafter operation and underwent open operation.Conclusions PTED is an effective treatment method for lumbar disc herniation and its preliminary efficacy is reliable.

Key words： lumbar vertebrae intervertebral disk displacement transforanfinal endoscopy preliminary effectiveness

Received: 13 September 2015

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2016/V27/I4/370

[1]	白一冰,徐岭.经皮腰椎间孔镜手术的穿刺定位策略[J].中国微创外科杂志,2012,12(8):540-543
[2]	周跃.正确认识经皮椎间孔镜技术[J].中国骨与关节杂志,2013,4(3):181-184.
[3]	李正宙,侯树勋,吴闻文,等.经皮侧后路腰椎间孔成形术对腰椎解剖及生物力学影响的实验研究[J].中国骨肿瘤病,2010,6(5):503-508.
[4]	周跃,李长青,王建,等.椎间孔镜YESS与TESSYS技术治疗腰椎问盘突出症[J].中华骨科杂志,2010,23(3):225-231.
[5]	Schube M, Hoogland T.Endoscopic transforaminal nucleotomy with Foraminoplasty for lumbar disk herniation[J].Oper Orthop Traumatol,2005, 17(6) : 641-661.
[6]	Yoshitaka H, Junichi M, Masaaki T,et al.Percutaneous endoscopic lumbar diseectomy-early clinical experience[J] .Neurol Med Chir (ToKyo),2012,52:625-630.
[7]	方淼,杜明奎,汤加柱,等.椎间孔镜技术治疗腰椎间盘突出症的疗效探讨[J].武警医学,2014,25(2):164-169.
[8]	温冰涛,张西峰,王岩,等.经皮内窥镜治疗腰椎间盘突出症的并发症及其处理[J].中华外科杂志,2011,12(12):1091-1095.
[9]	刘吴楠,林欣,闫家智,等.经皮椎间孔镜与显微镜下手术治疗腰椎问盘突出症近期疗效对比[J].中国骨关节杂志,2013,14(1):30-43.
[10]	郑文杰,周跃,李长青.经皮椎间孔镜技术治疗腰椎间盘突出症的策略和方法[J].中国骨与关节杂志,2013,4(4):228-231.
[11]	Nellensteijn J, Ostelo R, Bartels R,et al. Transforaminal endoscopic surgery for symptom- atic lumbar disc herniations: a systematic review of the literature [J] .Eur Spine,2010,19(2):181-204.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(6): 533-534.