[1]伍搏宇　徐　峰　熊承杰　席金涛　赵东东　黄壁旺　姚志鹏　杨　赛.经皮内镜下单侧入路双侧减压术治疗老年腰椎管狭窄症的疗效分析[J].中国临床神经外科杂志,2020,(02):85-87.[doi:10.13798/j.issn.1009-153X.2020.02.008]
　WU Bo-yu,XU Feng,et al.Curative effects of percutaneous endoscopic bilateral decompression via unilateral approach on lumbar spinal stenosis in the elderly[J].,2020,(02):85-87.[doi:10.13798/j.issn.1009-153X.2020.02.008]
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经皮内镜下单侧入路双侧减压术治疗老年腰椎管狭窄症的疗效分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年02期
页码:
85-87
栏目:
论著
出版日期:
2020-02-25

文章信息/Info

Title:
Curative effects of percutaneous endoscopic bilateral decompression via unilateral approach on lumbar spinal stenosis in the elderly
文章编号:
1009-153X（2020）02-0085-03
作者:
伍搏宇　徐　峰　熊承杰　席金涛　赵东东　黄壁旺　姚志鹏　杨　赛
430065 武汉，湖北中医药大学（伍搏宇、徐　峰）；430070 武汉，中国人民解放军中部战区总医院骨科（徐　峰、熊承杰、席金涛、赵东东、黄壁旺、姚志鹏、杨　赛）
Author(s):
WU Bo-yu1;  2;  XU Feng1;  2;  XIONG Cheng-jie2;  XI Jin-tao2 . ZHAO Dong-dong2;  HUANG Bi-wang2;  YAO Zhi-peng2;  YANG Sai2.
1.Hubei University of Traditional Chinese Medicine, Wuhan 430065, China; 2. Orthopedic Department, General Hospital, Central Theater Command, PLA, Wuhan 430070, China
关键词:
腰椎椎管狭窄症; 老年人; 脊柱内镜; 单侧入路双侧减压术; 疗效
Keywords:
Lumbar spinal stenosis;  Elderly;  Spinal endoscopy;  Unilateral approach;  Bilateral decompression
分类号:
R 681.5+7; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2020.02.008
文献标志码:
A
摘要:
目的 探讨经皮内镜下单侧入路双侧减压术治疗老年腰椎管狭窄症的疗效。方法 回顾性分析2016年3月至2018年6月应用经皮内镜下单侧入路双侧减压术治疗的41例单节段老年腰椎管狭窄症的临床资料。结果 手术均顺利完成，术中无更换术式；手术时间53~109 min，平均（88.7±12.6）min；术后住院时间2~7 d，平均（4.5±1.2）d。1例术中发生硬膜撕裂，无血管、神经损伤、椎间隙感染、椎管内血肿形成等并发症。术后1、6、12个月，腰痛、腿痛视觉模拟量表评分及Oswestry 功能障碍指数均较术前明显改善（P<0.05）。术后12个月，根据改良MacNab标准：优20例，良17例，可3例，差1例；优良率为90.2%。结论 经皮内镜下单侧入路双侧减压术是治疗老年腰椎管狭窄症的一种有效的手术方法。
Abstract:
Objective To explore the safety and outcomes of percutaneous endoscopic bilateral decompression via unilateral approach for lumbar spinal stenosis in the elderly. Methods Forty-one aged patients with single-segment lumbar spinal stenosis were treated by the endoscope-assisted bilateral decompression via unilateral approach from March, 2016 to June, 2018. The clinical effects were assessed by visual analogue scale (VAS), Oswestry Disability Index (ODI) and Modified MacNab criteria. Results The surgery was successfully performed in all the patients. The postoperative VAS scores of low back and leg pain and ODI scores were significantly improved compared with those before the operation (P<0.05). The rate of excellent and good prognosis was 90.2% (37/41) according to Modified MacNab criteria 12 months after the operation. Conclusion The bilateral decompression via the unilateral approach under the percutaneous endoscope is a safe and effective method to treat the lumbar spinal stenosis in the aged patients.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81401802）；全军医学科技青年培育计划（18QNP054）通讯作者：徐　峰，E-mail：gkxf79390@sohu.com（2019-09-24收稿，2020-01-02修回）
更新日期/Last Update: 2020-02-25