[1]姚羽 季佳伟① 朱为浩① 陈文韬① 陈瑞霖① 张烽 杨洋**②.经皮椎间孔镜椎间盘切除术治疗2种特殊类型脱垂型腰椎间盘突出症[J].中国微创外科杂志,2023,01(8):624-629.
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经皮椎间孔镜椎间盘切除术治疗2种特殊类型脱垂型腰椎间盘突出症()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年8期
页码:
624-629
栏目:
经验交流
出版日期:
2023-08-25

文章信息/Info

作者:
姚羽 季佳伟① 朱为浩① 陈文韬① 陈瑞霖① 张烽 杨洋**②
(南通大学附属医院脊柱外科，南通226001)
关键词:
经皮椎间孔镜椎间盘切除术; 腰椎间盘突出症
文献标志码:
B
摘要:
目的探讨经皮椎间孔镜椎间盘切除术治疗2种特殊类型脱垂型椎间盘突出症的短期疗效。方法2020年1月~2021年12月我科采用经皮椎间孔镜手术治疗7例单节段特殊类型脱垂型腰椎间盘突出症(A型4例，为同侧“双根症状”，B型3例，为双侧“双根症状”)，术中按照髓核脱垂分型，调整穿刺及椎间孔扩大成形的方向，并利用镜下环锯或动力系统来增大工作套筒头向或尾向角度，处理不同靶点目标。结果手术时间(75±16)min，术后住院时间(3.5±1.5)d。术后7例随访6～12个月，平均9个月。术前、术后、术后6个月及末次随访疼痛VAS评分分别为9(5，10)、2(1，4)、2(0，3)、2(0，3)分，与术前比较，术后各时间点VAS评分有明显改善(P<0.05)；术后各时间点之间VAS评分差异均无统计学意义(P>0.05)。术前、术后、术后6个月及末次随访ODI分别为(62.1±7.6)%，(19.1±6.2)%，(12.9±81)%，(10.3±42)%，除术后6个月与末次随访差异无显著性外(P=1.000)，其余时间点两两比较差异均有显著性(P<0.05)。末次随访MacNab标准优6例，良1例。结论经皮椎间孔镜技术治疗特殊类型脱垂型腰椎间盘突出症可行，短期疗效满意。

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备注/Memo

备注/Memo:
基金项目：江苏省重点研发计划社会发展项目（BE2017681）；南通市社会民生科技计划-面上项目（MS12021090）；南通市卫生健康委员会面上项目（MA2020023）**通讯作者，Email：yangyang286228@163.com ①（南通大学医学院，南通226001）②（南通大学附属医院创伤中心，南通226001）
更新日期/Last Update: 2023-11-08