[1]潘红利　范雁东　丁崇学等.经皮微通道显微手术治疗腰椎间盘突出症的效果分析[J].中国临床神经外科杂志,2021,26(03):156-158.[doi:10.13798/j.issn.1009-153X.2021.03.004]
　PAN Hong-li,FAN Yan-dong,DING Chong-xue,et al.Clinical efficacy of microsurgery through percutaneous microchannel for patients with single-segment lumbar disc herniation[J].,2021,26(03):156-158.[doi:10.13798/j.issn.1009-153X.2021.03.004]
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经皮微通道显微手术治疗腰椎间盘突出症的效果分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
26
期数:
2021年03期
页码:
156-158
栏目:
论著
出版日期:
2021-03-25

文章信息/Info

Title:
Clinical efficacy of microsurgery through percutaneous microchannel for patients with single-segment lumbar disc herniation
文章编号:
1009-153X（2021）03-0156-03
作者:
潘红利　范雁东　丁崇学等
830054 乌鲁木齐，新疆医科大学第一附属医院神经外科（潘红利、范雁东、丁崇学、罗　坤）
Author(s):
PAN Hong-li;  FAN Yan-dong;  DING Chong-xue;  et al…
Department of Neurosurgery, First Affiliated Hospital of Xinjiang Medical University, Urumchi 830054, China
关键词:
腰椎椎间盘突出症; 经皮微通道; 显微手术; 疗效
Keywords:
Lumbar disc herniation;  Microsurgery;  Percutaneous microchannel;  Clinical efficacy
分类号:
R 681.5; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2021.03.004
文献标志码:
A
摘要:
目的 探讨经皮微通道显微手术治疗单节段腰椎间盘突出症的效果。方法 回顾性分析2018年12月至2020年2月经皮微通道显微手术治疗的16例单节段腰椎间盘突出症的临床资料。结果 16例均顺利完成手术，手术时间平均（105.00±18.07）min，术中失血量平均（43.75±11.03）ml，术后无感染、神经根损伤、硬脊膜损伤等严重并发症。术后7 d、6个月视觉模拟量表评分、Oswatery功能障碍指数均明显下降（P<0.05）。术后6个月，根据改良MacNab标准评定为优9例、良5例、可2例；优良率为87.5%（14/16）。结论 经皮微通道显微手术治疗单节段腰椎间盘突出症，创伤小，失血量少，具有良好的临床疗效。
Abstract:
Objective To explore the clinical efficacy of microsurgery through percutaneous microchannel for the patients with single-segment lumbar disc herniation (LDH). Methods The clinical data of 16 patients with single-segment LDH who underwnt microsurgery through percutaneous microchannel from December 2018 to February 2020 were analyzed retrospectively. Results All the operations were successfully performed on the patients. The mean operation time was (105.00±18.07) min, and the mean intraoperative blood loss was (43.75 ±11.03) ml. There were no severe postoperative complications such as infection, cerebrospinal fluid leakage and nerve root injury. The visual analogue scale score and Oswestry disability index were significantly lower 7 days and 6 months after the operation than those before the operation (P<0.05). Six months after the operation, 9 patients were excellent, 5 good and 2 fair according to the modified MacNab standard, and the excellent and good rate was 87.5%. Conclusions The microsurgery through percutaneous microchannel, which has the advantages such as less trauma, less blood loss and good clinical effectiveness, is a good treatment method for the patients with single-segment LDH.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：罗　坤，E-mail：luokun_2822 sohu.com
更新日期/Last Update: 2021-03-25