[1]阮朝阳,曾强华,朱群威.口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症 经皮椎间孔镜术后下肢残留神经症状[J].中医正骨,2015,27(12):71-72.
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口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症 经皮椎间孔镜术后下肢残留神经症状()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年12期
页码:
71-72
栏目:
临床报道
出版日期:
2015-12-30

文章信息/Info

作者:
阮朝阳曾强华朱群威
浙江省海宁市人民医院,浙江 海宁 314400
关键词:
椎间盘移位 手术后并发症 周围神经损伤 椎间孔镜 甲钴胺胶囊 消栓口服液 补阳还五汤
摘要:
目的:观察口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症经皮椎间孔镜术后下肢残留神经症状的临床疗效。方法:2012年3月至2014年10月,采用口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症经皮椎间孔镜术后下肢残留神经症状患者25例,男15例、女10例。年龄21~65岁,中位数46岁。L4~5椎间盘突出13例,L5S1椎间盘突出12例,均为旁中央型突出。排除高髂嵴、严重椎管及侧隐窝狭窄、腰椎滑脱、腰椎不稳、复发性腰椎间盘突出症等其他可引发下肢神经症状的疾患。病程2个月至6年,中位数1年。结果:治疗结束后2周、6周、12周腰椎疼痛视觉模拟量表评分分别由治疗前(6.815±1.125)分降至(2.213±0.938)分、(1.736±0.659)分、(1.292±0.451)分,日本骨科协会腰痛疾患疗效评分分别由治疗前(10.895±1.342)分升至(22.797±1.469)分、(23.052±1.502)分、(23.632±1.236)分。胫神经F波传导速度由治疗前(1.736±0.816)m·s-1升至治疗结束后6周(7.635±1.085)m·s-1,腓神经F波传导速度由治疗前(9.873±1.512)m·s-1升至治疗后(20.263±1.452)m·s-1。结论:采用口服消栓口服液和甲钴胺胶囊治疗腰椎间盘突出症经皮椎间孔镜术后下肢残留神经症状,能够修复下肢神经功能,改善疼痛症状,有利于腰椎功能的恢复,值得临床推广应用。

参考文献/References:

[1] Gore S,Yeung A.The “inside out” transforaminal technique to treat lumbar spinal pain in an awake and aware patient under local anesthesia:results and a review of the literature[J].Int J Spine Surg,2014,8:28.
[2] Knight MT,Jago I,Norris C,et al.Transforaminal endoscopic lumbar decompression & foraminoplasty:a 10 year prospective survivability outcome study of the treatment of foraminal stenosis and failed back surgery[J].Int J Spine Surg,2014,8:1-22.
[3] Hsu HT,Chang SJ,Yang SS,et al.Learning curve of full-endoscopic lumbar discectomy[J].Eur Spine J,2013,22(4):727-733.
[4] Ahn Y,Oh HK,Kim H,et al.Percutaneous endoscopic lumbar foraminotomy:an advanced surgical technique and clinical outcomes[J].Neurosurgery,2014,75(2):124-133.
[5] Shin KH,Chang HG,Rhee NK,et al.Revisional percutaneous full endoscopic disc surgery for recurrent herniation of previous open lumbar discectomy[J].Asian Spine J,2011,5(1):1-9.
[6] Yoon SM,Ahn SS,Kim KH,et al.Comparative study of the outcomes of percutaneous endoscopic lumbar discectomy and microscopic lumbar discectomy using the tubular retractor system based on the VAS,ODI,and SF-36[J].Korean J Spine,2012,9(3):215-222.
[7] Gu X,He SS,Zhang HL.Morphometric analysis of the YESS and TESSYS techniques of percutaneous transforaminal endoscopic lumbar discectomy[J].Clinical Anatomy,2013,26(6):728-734.
[8] 吴小程,周跃,李长青.经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症的前瞻性随机对照研究[J].第三军医大学学报,2009,31(9):843-846.
[9] Cho JY,Lee SH,Lee HY.Prevention of development of postoperative dysesthesia in transforaminal percutaneous endoscopic lumbar discectomy for intracanalicular lumbar disc herniation:floating retraction technique[J].Minim Invasive Neurosurg,2011,54(5/6):214-218.
[10] Yeung AT,Tsou PM.Posterolateral endoscopic excision for lumbar disc herniation:Surgical technique,outcome,and complications in 307 consecutive cases[J].Spine(Phila Pa 1976),2002,27(7):722-731.
[11] Wang HW,Huang B,Li CQ,et al.Learning curve for percutaneous endoscopic lumbar discectomy depending on the surgeon's training level of minimally invasive spine surgery[J].Clin Neurol Neurosurg,2013,115(10):1987-1991.
[12] 蒋协远,王大伟.骨科临床疗效评价标准[M].北京:人民卫生出版社,2005:123-124.
[13] 井上駿一,他.腰痛治療成績判定基凖[J].日整会志,1986,60:391-394.
[14] 王东强,郭义,李志军,等.甲钴胺促进周围神经再生的实验研究[J].天津医药,2010,38(3):223-225.
[15] 陆志东,谭希鹏.甲钴胺治疗非压迫性腰椎间盘突出症的实验研究[J].宁夏医学杂志,2011,33(3):219-221.
[16] 周岚,梅晓云,吴颢昕,等.补阳还五汤促进大鼠夹伤腓总神经功能恢复的实验研究[J].中国骨伤,2011,24(3):249-252.
[17] 梅晓云,周岚,吴灏昕,等.补阳还五汤促进大鼠腓总神经再生的实验研究[J].中国实验方剂学杂志,2010,16(5):114-117.

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备注/Memo

备注/Memo:
2015-06-28收稿 2015-11-15修回
更新日期/Last Update: 2015-12-30