[1]何佳佳,龚智标,刘 通,等.退行性腰椎管狭窄症的微创治疗[J].天津医科大学学报,2016,22(03):259-261.
HE Jia-jia,GONG Zhi-biao,LIU Tong,et al.Minimally invasive treatment of denegenerative? lumbar ?spinal stenosis[J].Journal of Tianjin Medical University,2016,22(03):259-261.
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退行性腰椎管狭窄症的微创治疗(PDF)
HE Jia-jia,GONG Zhi-biao,LIU Tong,et al.Minimally invasive treatment of denegenerative? lumbar ?spinal stenosis[J].Journal of Tianjin Medical University,2016,22(03):259-261.
《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]
- 卷:
- 22卷
- 期数:
- 2016年03期
- 页码:
- 259-261
- 栏目:
- 临床医学
- 出版日期:
- 2016-05-20
文章信息/Info
- Title:
- Minimally invasive treatment of denegenerative? lumbar ?spinal stenosis
- 文章编号:
- 1006-8147（2016）03-0259-03
- Author(s):
- HE Jia-jia; GONG Zhi-biao; LIU Tong; ZHU Tao
- (Department of Neurosurgery, General Hospital,Tianjin Medical University, Tianjin 300052, China)
- 分类号:
- R744
- DOI:
- -
- 文献标志码:
- A
- 摘要:
- 目的 : 探讨采用椎板间入路治疗退行性腰椎管狭窄症的临床效果。方法: 回顾性分析采用微创椎板间入路治疗的183例退行性腰椎管狭窄症患者的临床资料，观察手术时间、术中出血量及并发症发生情况，采用疼痛视觉模拟量表（VAS）评分和日本骨科学会（JOA）评分评估临床效果。结果： 183例患者手术时间平均（51±10.5）min；术中出血量平均（12±2.5）mL，其中单节段单侧神经根减压121例，单节段双侧减压34例，多节段减压31例。所有患者均无硬脊膜损伤、神经根损伤及椎间隙感染等并发症。183例患者有效随访165例，总随访率90.2%，随访6～34个月，平均18.4个月。术后不同手术类型患者末次随访VAS及JOA评分显著高于术前，具有显著统计学差异（P＜0.05）。结论 ：微创椎板间入路手术能有效治疗退行性腰椎管狭窄症。
- Abstract:
- Objective ： To investigate the clinical outcomes and surgical techniques of nerve root decompression approach for lumbar spinal stenosis. Methods：Retrospective analysis was applied on minimal invasion between vertebral plates in the treatment of 183 cases with degenerative lumbar spinal stenosis disease, and the operation time, intraoperative blood loss and complications were observed. The assessment was performed using the Japanese Orthopaedic Association(JOA), Visual Analogue Scale ( VAS ) at 6 months and 1 year after the operation. The parameters were recorded such as the operation time, intraoperative blood loss, postoperative complications, hospital stays and etc. Results： The surgical results were good. The preoperative VAS and JOA scores were significantly improved at 6 months and 1year after the surgery. Conclusion：Minimally invasive surgery between vertebral plates can be effective in the treatment of degenerative lumbar spinal stenosis disease.
参考文献/References:
[1]Smith W D, Christian G, Serrano S, et al. A comparison of perioperative charges and outcome between open and mini-open approaches for anterior lumbar discectomy and fusion[J]. J Clin Neuroscience, 2012, 19(5): 673 [2] Kim D Y, Lee S H, Chung S K, et a1. Comparison of muhi6dus mu8cle atmphy and tmnk extension muscle strengtll：percutaneous versusen pedicle screw fixation[J]．Spine，2005，30(1)：123 [3]Eliyas I K, Karahalios D. Surgery for degenerative lumbar spine disease[J]. Dis Mon, 2011, 57(10): 592 [4]梁博伟，殷国前，赵劲民，等．显微镜下精准减压术治疗退变性腰椎管狭窄症[J]．中国矫形外科杂志，2012，20（5）：397 [5]Arnold P M, Anderson K K, Mcguire R J. The lateral transpsoas approach to the lumbar and thoracic spine:a review[J]. Surg Neural Int, 2012, 3(3): 198 [6] 李明全，袁志，陈拱治．极外侧型腰椎间盘突出症[J]．中华骨科杂志, 1995, 15(4):239 [7]Snyder L A, O’toole J, Eichholz K M, et al. The technological development of minimally invasive spine surgery[J]. Biomed Res Int, 2014, 2014: 203582 [8]Takahashi Y, Sato T, Hyodo H, et al. Incidental durotomy during lumbar spine surgery:risk factors and anatc locations:clinical article[J]. J Neurosurg Spine, 2013, 18(2): 165 [9]Hoogland T, Schubert M, Miklitz B, et al. Transforaminal posterolateral endoscopic discectomy with or without the combination of a low-dose chymopapain: a prospective randomized study in 280 consecutive cases[J]. Spine (Phila Pa 1976), 2006, 31(24): E890
相似文献/References:
[1]韩 岳,夏 群,徐宝山,等.选择性神经根封闭术在微创治疗不典型椎间盘突出症中的定位应用价值[J].天津医科大学学报,2016,22(01):55.
备注/Memo
- 备注/Memo:
-
作者简介 何佳佳（1987--），男，住院医师，硕士在读，研究方向：脊柱脊髓疾病；
通信作者：朱涛， E-mail: zhutao5@126.com。
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