[1]杜炎鑫** 陈彥均① 侯宇.经皮内镜经椎间孔入路治疗腰椎间盘突出症的中期疗效[J].中国微创外科杂志,2019,01(11):1004-1011.
　Du Yanxin*,Chen Yanjun,Hou Yu*..Midterm Efficacy of Percutaneous Endoscopic Transforaminal Approach for Lumbar Disc Herniation[J].Chinese Journal of Minimally Invasive Surgery,2019,01(11):1004-1011.
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经皮内镜经椎间孔入路治疗腰椎间盘突出症的中期疗效()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年11期
页码:
1004-1011
栏目:
临床研究
出版日期:
2019-11-25

文章信息/Info

Title:
Midterm Efficacy of Percutaneous Endoscopic Transforaminal Approach for Lumbar Disc Herniation
作者:
杜炎鑫** 陈彥均① 侯宇
（广东省中医院脊柱外科，广州510120）
Author(s):
Du Yanxin*;  Chen Yanjun;  Hou Yu*.
*Department of Spine Surgery, Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120, China
关键词:
腰椎间盘突出症; 经皮内镜手术; 经椎间孔入路
Keywords:
Lumbar disc herniation; Percutaneous endoscopic surgery; Transforaminal approach
文献标志码:
A
摘要:
目的探讨经皮内镜经椎间孔入路治疗腰椎间盘突出症的中期疗效。方法2015年1~12月，采用经皮内镜经椎间孔入路治疗腰椎间盘突出症47例，其中40例于术后33~44个月（平均39.3月）获得随访。除1例术后腰椎管狭窄症外，比较其余39例的术前、术后第2天及末次随访患侧下肢疼痛视觉模拟评分（Visual Analogue Scale，VAS）、日本骨科协会(Japanese Orthopedic Association，JOA)评分及Oswestry功能障碍指数（Oswestry Disability Index，ODI）评估手术中期疗效。结果无严重并发症，无椎间隙感染，无复发。术前、术后第2天及末次随访患侧下肢VAS评分分别为（6.5±1.3）分、（0.8±07）分、（0.6±0.7）分，JOA评分分别为（16.6±3.9）分、（27.7±1.3）分、（28.1±1.2）分，ODI分别为（48.3±7.7）%、（3.5±3.4）%、（3.0±3.6）%，术后及末次随访较术前均明显改善（P<0.05）。结论经皮内镜经椎间孔入路治疗腰椎间盘突出症，在明确责任节段及术中精细操作的基础上，可有明显的即时疗效及良好的中期疗效。
Abstract:
ObjectiveTo investigate the midterm efficacy of percutaneous endoscopic transforaminal approach surgery for the treatment of lumbar disc herniation. MethodsFrom January 2015 to December 2015, 47 patients with lumbar disc herniation were treated with percutaneous endoscopic transforaminal approach surgery. Forty of them were followed up for 33-44 months (mean, 39.3 months). Except for one case of lumbar spinal stenosis, the Visual Analogue Scale (VAS) of lower limbs, Japanese Orthopedic Association (JOA) and Oswestry Disability Index (ODI) were compared among the remaining 39 cases before operation, at the second day after operation and at the last followup to evaluate the midterm outcome of surgery.ResultsNo serious complications, intervertebral space infection, or recurrence happened. The VAS scores of lower limbs before operation, at the second day after operation and at the last followup were (6.5±1.3), (0.8±0.7) and (0.6±0.7) points, respectively. The JOA scores were (166±3.9), (27.7±13) and (28.1±1.2) points, respectively. The ODI was (48.3±7.7)%, (3.5±3.4)% and (3.0±36)%, respectively. The results of postoperation and the last followup were significantly better than those before operation (P<005).ConclusionPercutaneous endoscopic transforaminal approach surgery for the treatment of lumbar disc herniation can achieve immediate and good midterm results on the basis of defining the responsible segment and careful operation performance.

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备注/Memo

备注/Memo:
基金项目：广东省医学科研基金（A2017460）**通讯作者，Email：13828456388@126.com ①（广州中医药大学第二临床医学院，广州510405）
更新日期/Last Update: 2020-03-03