[1]贾传广.经皮椎间孔镜技术治疗腰椎间盘突出症[J].中医正骨,2015,27(06):49-50.
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经皮椎间孔镜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27卷
期数:
2015年06期
页码:
49-50
栏目:
临床报道
出版日期:
2015-06-30

文章信息/Info

作者:
贾传广
山东省枣庄市中医医院,山东 枣庄 277100
关键词:
椎间盘移位 椎间盘切除术 椎间孔镜 腰椎
摘要:
目的:探讨采用经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效及安全性。方法:2013年1月至2014年4月,采用经皮椎间 孔镜技术治疗腰椎间盘突出症患者108例,男60例,女48例。年龄28~49岁,中位数37岁。椎间盘突出部位,L3~420例 ,L4~563例,L5S125例。椎间盘突出类型,中央型5例、旁中央型83例、椎间孔型15例、极 外侧型5例。病程1个月至3年,中位数1.5年。术后随访观察腰腿疼痛改善、并发症发生及功能恢复等情况。结果:所有患者均获 随访,随访时间1~20个月,中位数15个月。切口均甲级愈合。均未出现切口感染、脊髓神经损伤及神经根黏连等并发症。术后1 d、7 d、1个月、6个月、12个月,腰腿疼痛视觉模拟评分由术前的(7.7±2.0)分降至(2.8±1.3)分、(2.4±1.7)分 、(1.9±0.9)分、(1.6±0.7)分、(1.5±0.8)分。采用Macnab评分标准评价疗效,优78例、良22例、可8例。结论: 采用经皮椎间孔镜技术治疗腰椎间盘突出症,具有创伤小、并发症少、可迅速缓解疼痛等优点,有助于促进腰椎功能恢复,值得临 床推广应用。

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备注/Memo

备注/Memo:
2014-11-14收稿 2015-01-19修回
更新日期/Last Update: 2015-06-30