[1]舒 伟 李勇杰 陶 蔚 卢 光 张佳星 倪 兵 孙 涛 朱宏伟.经皮脊柱内镜下手术治疗腰5-骶1椎间盘突出症[J].中国临床神经外科杂志,2018,(01):4-6.[doi:10.13798/j.issn.1009-153X.2018.01.002]
 SHU Wei,LI Yong-jie,TAO Wei,et al.Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation[J].,2018,(01):4-6.[doi:10.13798/j.issn.1009-153X.2018.01.002]
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经皮脊柱内镜下手术治疗腰5-骶1椎间盘突出症()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年01期
页码:
4-6
栏目:
论著
出版日期:
2018-01-25

文章信息/Info

Title:
Percutaneous endoscopic lumbar discectomy for L5-S1 disc herniation
文章编号:
1009-153X(2018)01-0004-03
作者:
舒 伟 李勇杰 陶 蔚 卢 光 张佳星 倪 兵 孙 涛 朱宏伟
作者单位:100053 北京,北京功能神经外科研究所、首都医科大学宣武医院功能神经外科(舒 伟、李勇杰、陶 蔚、卢 光、张佳星、倪 兵、孙 涛、朱宏伟)
Author(s):
SHU Wei LI Yong-jie TAO Wei LU Guang ZHANG Jia-xing NI Bing SUN Tao ZHU Hong-wei.
Department of Functional Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
腰椎间盘突出症腰5-骶1椎间盘经皮脊柱内镜手术效果
Keywords:
Percutaneous endoscopic disectomy Lumbar disc herniation Minimally invasive spine surgery Curative effects
分类号:
R 681.5+7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2018.01.002
文献标志码:
A
摘要:
目的 探讨经皮脊柱内镜下手术治疗腰5-骶1椎间盘突出症的方法及效果。方法 回顾性分析2013年3月至2016年1月经皮脊柱内镜下手术治疗的38例腰5-骶1腰椎间盘突出症的临床资料,采用经椎间孔入路26例,经椎板间入路12例。手术前后采用疼痛视觉模拟量表(VAS)评分、MacNab量表评分、KPS评分和日本骨科协会(JOA)评分评估疗效。随访时间大于6个月。结果 38例中,34例(89.5%)疗效优良。术后VAS评分[(1.0±1.5)分]较术前[(7.9±1.1)分]明显降低(P<0.05)。术后腰椎JOA评分[(21±5.7)分]较术前[(7.4±4.6)分]明显提高(P<0.05)。经椎间孔入路和经椎板间入路的手术疗效无明显差异。结论 经皮脊柱内镜下选择椎间孔入路或椎板间入路均可有效、安全并且微创地治疗腰5-骶1腰椎间盘突出症。
Abstract:
Objective To investigate the treating strategy of percutaneous endoscopic lumbar discectomy (PELD) for L5-S1 disc herniation. Methods The clinical data of 38 patients with L5-S1 disc herniation, of whom, 26 underwent percutaneous endoscopic transforaminal discectomy (PELD) and 12 percutaneous endoscopic interlaminar discectomy (PEID) from 2016 to 2013, were analyzed retrospectively. The clinical outcomes were assessed by the visual analogue scale (VAS) and modified Macnab functional classification in all the patients who were followed up for over 6 months. Results Of 38 patients, 34 (89.5%) received excellent or good outcomes after the surgery. The VAS scores [(7.9±1.1) points] were significantly higher before the surgery than those [(1.0±1.5)] after the surgery (P<0.05). There were no significant differences in the postoperative VAS scores between 12 patients undergoing PEID and 26 patients undergoing PETD. Conclusion PELD including PETD and PEID is a safe, effective and minimally invasive method to treat L5-S1 disc herniation.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:北京市“扬帆”计划重点医学专业-疼痛学(ZYLX201507) 通讯作者:朱宏伟,E-mail:18941894@sina.com
更新日期/Last Update: 2017-12-27