[1]刘相英,刘建军,李士民.脊柱内镜全可视技术治疗腰椎间盘突出症[J].中医正骨,2019,31(07):69-71.
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脊柱内镜全可视技术治疗腰椎间盘突出症()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第31卷
期数:
2019年07期
页码:
69-71
栏目:
临床报道
出版日期:
2019-07-20

文章信息/Info

作者:
刘相英刘建军李士民
(滑县骨科医院,河南 滑县 456485)
关键词:
椎间盘移位 腰椎 椎间孔镜
摘要:
目的:探讨脊柱内镜全可视技术治疗腰椎间盘突出症的临床疗效和安全性。方法:2017年3月至2018年12月收治153例腰椎间盘突出症患者。男97例,女56例; 年龄18~76岁,中位数41岁; L1~2椎间盘突出1例,L2~3椎间盘突出2例,L3~4椎间盘突出5例,L4~5椎间盘突出92例,L5S1椎间盘突出53例; 腰腿痛持续时间3个月至10年,中位数26个月; 5例有同节段手术史,12例合并不同程度的骨质疏松,17例合并高血压。所有患者均经过3周规范的非手术治疗,症状无明显改善,均采用脊柱内镜全可视技术治疗。结果:本组患者均顺利完成手术,术中均仅X线透视1次。手术时间35~70 min,中位数58 min。住院时间4~7 d,中位数5 d。术后1个月25例患者失访,其余128例随访至术后3个月。至随访结束时所有患者均未出现并发症。患者术前(153例)、术后6 h(153例)、术后1周(153例)、术后1个月(153例)、术后3个月(128例)的腰腿疼痛视觉模拟量表评分分别为(7.2±1.3)分、(4.2±1.7)分、(2.6±1.1)分、(1.9±0.7)分、(1.6±0.4)分。术后3个月时按照改良MacNab标准评定,128例患者中优112例、良12例、可4例。结论:应用脊柱内镜全可视技术治疗腰椎间盘突出症,术中X线透视次数少,安全性高,疗效确切。

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备注/Memo

备注/Memo:
(收稿日期:2019-04-01 本文编辑:李晓乐)
更新日期/Last Update: 2019-07-20