[1]谭林英　徐　峰.经皮椎间孔镜术治疗腰椎间盘突出症合并后纵韧带骨化的疗效分析[J].中国临床神经外科杂志,2018,(12):788-791.[doi:10.13798/j.issn.1009-153X.2018.12.007]
　TAN Lin-ying,XU Feng.Treatment of lumbar disc herniation with ossification of posterior longitudinal ligament by percutaneous intervertebral foramen endosdcope surgery[J].,2018,(12):788-791.[doi:10.13798/j.issn.1009-153X.2018.12.007]
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经皮椎间孔镜术治疗腰椎间盘突出症合并后 纵韧带骨化的疗效分析()
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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12期
页码:
788-791
栏目:
论著
出版日期:
2018-12-25

文章信息/Info

Title:
Treatment of lumbar disc herniation with ossification of posterior longitudinal ligament by percutaneous intervertebral foramen endosdcope surgery
文章编号:
1009-153X（2018）12-0788-04
作者:
谭林英　徐　峰
430061 武汉，湖北中医药大学研究生院（谭林英）；430070武汉，中国人民解放军中部战区总医院骨科（徐　峰）
Author(s):
TAN Lin-ying1;  XU Feng2
1. Graduate School, Hubei University of Chinese tranditional Medicine, Wuhan 430061 China; 2. Orthopedic Department, General Hospital, Central Command, PLA, Wuhan 430070, China
关键词:
腰椎间盘突出症; 后纵韧带骨化; 经皮椎间孔镜术; 疗效
Keywords:
Lumbar disc herniation;  Ossification of posterior longitudinal ligament;  Percutaneous intervertebral foramen endoscope surgery;  Curative effect
分类号:
R581.5+7
DOI:
10.13798/j.issn.1009-153X.2018.12.007
文献标志码:
A
摘要:
目的 探讨经皮椎间孔镜术治疗腰椎间盘突出伴后纵韧带骨化的方法及疗效。方法 回顾性分析2016年1月至2018年1月收治的14例腰椎间盘 突出伴后纵韧带骨化的临床资料，均采用经皮侧路镜技术进行治疗。术后平均随访时间8.4 个月。术前及术后1 d和1、3、6 个月采用视觉模拟量表 （VAS）评分评估腰腿痛、Oswestry功能障碍指数（ODI）评估腰椎功能，改良MacNab疗效评分评定临床疗效。结果 14例均顺利完成手术。术后1 d和 1、3、6 个月腰腿痛VAS评分、ODI较术前均明显改善（P<0.05）。术后6个月，改良MacNab临床疗效评价：优11例，良2例，可1例；优良率为 93%（13/14）。结论 经皮椎间孔镜技术可有效治疗腰椎椎间盘突出伴后纵韧带骨化，使神经根得到及时彻底减压及松解，临床效果显著，但须严格 把握手术适应证。
Abstract:
Objective To explore the operative technique of percutaneous intervertebral foramen endoscope surgery for the lumbar disc herniation (LDH) with ossification of posterior longitudinal ligament (OPLL). Methods The percutaneous intervertebral foramen endoscope surgery was performed from January, 2016 to January, 2018. in 14 patients with LDH complicated with OPLL. The clinical effects were assessed by visual analogue scale (VAS), and Oswestry disability index (ODI). The prognosis was assessed by modified MacNab standard on the last following up. All the patients were followed up for mean 8.4 months. Results VAS scores of low back pain and ODI were significantly lower 1, 30, 90 and 182 days after the operation than those before the operation in all the patients (P<0.05). The rate of good prognosis was 93.3% according to the modified MacNab standard on the last following up. Conclusion The percutaneous intervertebral foramen endoscope surgery is an effective method to treat LDH with OPLL, because the nerve root can be decompressed and relaxed completely in time by this operation, but the indication of operation must be strictly grasped.

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备注/Memo

备注/Memo:
doi:10.13798/j.issn.1009-153X.2018.12.007 作者单位：430061 武汉，湖北中医药大学研究生院（谭林英）；430070武汉，中国人民解放军中部战区总医院骨科（徐　峰） 通讯作者：徐　峰，E-mail：gkxf79390@sohu.com
更新日期/Last Update: 2018-12-26