[1]周逸驰 金祺 常见忠 孙承军*.改良TESSYS技术治疗老年腰椎管狭窄症[J].中国微创外科杂志,2020,01(9):793-797.
　Zhou Yichi,Jin Qi,Chang Jianzhong,et al.Modified TESSYS Technique for Lumbar Spine Stenosis in Elderly Patients[J].Chinese Journal of Minimally Invasive Surgery,2020,01(9):793-797.
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改良TESSYS技术治疗老年腰椎管狭窄症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年9期
页码:
793-797
栏目:
临床研究
出版日期:
2020-09-25

文章信息/Info

Title:
Modified TESSYS Technique for Lumbar Spine Stenosis in Elderly Patients
作者:
周逸驰 金祺 常见忠 孙承军*
（武汉科技大学附属华润武钢总医院骨科，武汉430080）
Author(s):
Zhou Yichi;  Jin Qi;  Chang Jianzhong;  et al.
Department of Orthopedics, WISCO General Hospital, Wuhan 430080, China
关键词:
改良TESSYS技术; 腰椎管狭窄症; 老年
Keywords:
Modified TESSYS technique; Lumbar spine stenosis; Elderly patient
文献标志码:
A
摘要:
目的探讨改良TESSYS技术治疗老年腰椎管狭窄的效果。方法回顾性分析2016年1月~2018年9月在我院行可视化椎间孔成形并保留后纵韧带的改良TESSYS技术治疗37例老年性腰椎管狭窄的临床资料，记录手术时间、术中出血量，术前、术后3天、术后3个月、术后6个月疼痛视觉模拟评分（Visual Analogue Scale，VAS）、Oswestry功能障碍指数（Oswestry Disability Index，ODI）、日本骨科协会(Japanese Orthopedic Association，JOA)评分及末次随访MacNab标准的疗效。结果手术时间（107.1±9.5）min，术中出血量（22.0±5.2）ml。37例随访12~24个月，中位数18个月。疼痛VAS评分术后3天［（0.89±0.74）分］较术前［（7.32±1.27）分］明显降低（P=0.000），术后3个月［（0.22±0.42）分］继续降低（P=0000），术后6个月［（0.19±0.40）分］与术后3个月无明显差异（P=0.711）。JOA评分和ODI术后3个月［（21.70±2.46）分、（15.51±4.41）%］较术前［（11.97±2.54）分、（74.29±7.95）%］明显改善（P=0.000），术后6个月［（23.86±1.84）分、（9.54±3.14）%］继续改善（P=0.000）。末次随访MacNab标准优34例，良2例，可1例，优良率97.3%（36/37）。结论改良TESSYS技术治疗老年性腰椎管狭窄症具有良好的疗效。
Abstract:
ObjectiveTo research the clinical effects of modified TESSYS technique for lumbar spine stenosis (LSS) in elderly patients.MethodsA total of 37 elderly patients with LSS treated with modified TESSYS technique from January 2016 to September 2018 in our hospital were retrospectively analyzed. The visualized foraminoplasty technique was performed and the posterior longitudinal ligament was reserved. The time of surgery, blood loss volume was recorded. The Visual Analogue Scale (VAS) score, Oswestry Disability Index (ODI), Japanese Orthopedic Association (JOA) score and MacNab criteria of last followup were evaluated.ResultsThe average time of surgery was (107.1±9.5) min and the average amount of blood loss was (22.0±5.2) ml. All the patients were successfully followed up for 12-24 months, with a median of 18 months. The VAS scores in preoperation, 3 days postoperation, 3 months postoperation and 6 months postoperation were (7.32±1.27), (0.89±0.74), (0.22±0.42), and (0.19±0.40) points, respectively. The VAS score of 3 days postoperation was better than preoperation (P=0.000) and the VAS score of 3 months postoperation was better than 3 days postoperation (P=0.000), while the VAS scores of 3 months postoperation and 6 months postoperation were not significantly different (P=0.711). The JOA scores in preoperation, 3 months postoperation and 6 months postoperation were (11.97±2.54), (21.70±2.46) and (23.86±1.84) points, respectively. The ODI in preoperation, 3 months postoperation and 6 months postoperation were (74.29±7.95)%, (15.51±4.41)% and (954±3.14)%, respectively. The JOA score and ODI of 3 months postoperation was better than peroperation (P=0.000), while the JOA score and ODI of 6 months postoperation was better than 3 months postoperation (P=0.000). According to the MacNab criteria, 34 patients were excellent, 2 patients were good, and 1 patient was fair, and the excellenceandgood rate was 97.3% (36/37).ConclusionModified TESSYS technique is significantly effective in the treatment of elderly LSS patients.

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备注/Memo

备注/Memo:
*通讯作者，Email：andoveiy@sina.com
更新日期/Last Update: 2020-12-09