[1]宋坤锋 马海军 周红刚**.全内镜下椎板开窗减压术(EndoLOVE)治疗青壮年钙化型L5/S1椎间盘突出症[J].中国微创外科杂志,2022,01(1):14-18.
　Song Kunfeng,Ma Haijun,Zhou Honggang..Full Endoscopic Fenestration Discectomy Technique for the Treatment of L5/S1 Calcified Lumbar Disc Herniation in Young Adults[J].Chinese Journal of Minimally Invasive Surgery,2022,01(1):14-18.
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全内镜下椎板开窗减压术(EndoLOVE)治疗青壮年钙化型L5/S1椎间盘突出症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2022年1期
页码:
14-18
栏目:
临床研究
出版日期:
2022-04-07

文章信息/Info

Title:
Full Endoscopic Fenestration Discectomy Technique for the Treatment of L5/S1 Calcified Lumbar Disc Herniation in Young Adults
作者:
宋坤锋 马海军 周红刚**
(河南省直第三人民医院椎间盘中心，郑州450006)
Author(s):
Song Kunfeng;  Ma Haijun;  Zhou Honggang.
Intervertebral Disc Center, Henan No.3 Provincial People’s Hospital, Zhengzhou 450006, China
关键词:
全内镜; 钙化型腰椎间盘突出症; 全可视化环锯; 椎板开窗
Keywords:
Full endoscopy; Calcified lumbar disc herniation; Full visualization trephine; Lamina fenestration
文献标志码:
A
摘要:
目的探讨全内镜下椎板开窗减压术(即EndoLOVE技术)治疗青壮年钙化型L5/S1椎间盘突出症的近期疗效。方法回顾性收集2018年4月~2020年10月EndoLOVE技术治疗青壮年钙化型L5/S1椎间盘突出症56例资料，男38例，女18例，年龄16~45岁，(33.7±12.6)岁。根据椎间盘突出方向与患侧S1神经根位置，腋下型27例，肩型22例，混合型7例。记录术前及术后3天、3个月、6个月、12个月腰腿痛视觉模拟评分(Visual Analogue Scale，VAS)和Oswestry功能障碍指数(Oswestry Disability Index，ODI)。按照MacNab标准评定术后疗效。结果所有病例均顺利完成手术，无神经根损伤、硬膜囊撕裂等并发症。术后各时间点腰腿痛VAS、ODI均较术前明显改善(P=0.000)。术后随访12~24个月，(14.2±8.3)月。按照MacNab标准，优40例，良11例，可5例，优良率91.1%(51/56)。结论EndoLOVE治疗青壮年钙化型L5/S1椎间盘突出症简单、实用，安全性可控，尤其对于椎板间窗严重狭窄以及肩型压迫的情况，近期疗效满意。
Abstract:
ObjectiveTo investigate the shortterm effect of full endoscopic fenestration discectomy (EndoLOVE) technique in the treatment of L5/S1 calcified lumbar disc herniation in young adults.MethodsClinical data of 56 young adults with L5/S1 calcified intervertebral disc herniation treated with EndoLOVE technique from April 2018 to October 2020 were retrospectively collected. There were 38 males and 18 females, aged 16-45 years old (mean, 33.7±12.6 years old). According to the direction of the intervertebral disc herniation and the position of the S1 nerve root on the affected side, 27 cases were divided into axillary type, 22 cases of shoulder type, and 7 cases of mixed type. The Visual Analogue Scale (VAS) and Oswestry Disability Index (ODI) were recorded before operation and at 3 days, 3 months, 6 months, and 12 months after operation. The postoperative curative effect was evaluated according to the modified MacNab criteria.ResultsThe operations were successfully completed in all the cases without nerve root injury, dural sac tear or other complications. The VAS of low back and leg pain and ODI at various time points after operation were significantly improved as compared with those before operation (all P=0.000). All the patients were followed up for 12-24 months (mean, 14.2±8.3 months). According to the modified MacNab criteria, there were 40 cases of excellent outcomes, 11 cases of good, 5 cases of fair, and the excellent and good rate being 91.1% (51/56).ConclusionEndoLOVE treatment of L5/S1 calcified intervertebral disc herniation in young adults is simple, practical, safe and controllable, especially for severe stenosis of the interlaminar window and shouldertype compression. The shortterm effect is satisfactory.

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备注/Memo

备注/Memo:
基金项目：河南省医学适宜推广项目(SYJS2020055)**通讯作者，Email：h6869000@163.com
更新日期/Last Update: 2022-04-07