[1]康永奇,李豪,蒲君涛.经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症[J].中医正骨,2019,31(07):72-74.
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经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症()
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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:
72-74
栏目:
临床报道
出版日期:
2019-07-20

文章信息/Info

作者:
康永奇李豪蒲君涛
(登封市人民医院,河南 登封 452470)
关键词:
椎间盘移位 腰椎 椎间盘切除术经皮 椎间孔镜
摘要:
目的:观察经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症的临床疗效及安全性。方法:2016年1月至2018年6月,采用经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症患者22例。男15例,女7例。年龄56~62岁,中位数58岁。椎间盘突出节段,L3~45例、L4~516例、L5S11例。病程3~6个月,中位数4个月。采用视觉模拟量表(visual analogue scale,VAS)评价患者腰腿疼痛情况,采用Macnab标准评价疗效,随访观察并发症发生情况。结果:手术时间80~140 min,中位数100 min。术后下床时间16~40 h,中位数26 h。住院时间4~8 d,中位数6 d。所有患者均获随访,随访时间6~24个月,中位数15个月。切口均甲级愈合。均未出现脊髓神经损伤、切口感染及神经根粘连等并发症。腰腿疼痛VAS评分,术前(7.9±1.8)分,术后1 d(2.7±1.4)分、7 d(2.5±1.6)分、1个月(1.9±0.8)分、6个月(1.7±0.6)分。术后6个月按Macnab标准评价疗效,优13例、良7例、可1例、差1例。差的1例非手术治疗2个月后症状改善不明显,采用微创经椎间孔入路腰椎间融合术治疗,最终疗效评价结果为良。结论:经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症,可以减轻腰腿疼痛,疗效好、安全性高,值得临床推广应用。

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备注/Memo

备注/Memo:
(收稿日期:2019-04-08 本文编辑:郭毅曼)
更新日期/Last Update: 2019-07-20