中国现代医生杂志欢迎您.   今天是:          
李 鹏 沈忠达.脊柱内镜在治疗腰椎管狭窄症中椎间孔入路和椎板间入路减压范围和临床疗效对比分析[J].中国现代医生,2021,59(11):62-65
脊柱内镜在治疗腰椎管狭窄症中椎间孔入路和椎板间入路减压范围和临床疗效对比分析
Comparative analysis of decompression range and clinical efficacy of intervertebral foraminal approach and interlaminar approach in the treatment of lumbar spinal stenosis with spinal endoscopy
  
DOI:
中文关键词:  椎间孔入路  腰椎管狭窄症  减压范围  椎板间入路  脊柱内镜
英文关键词:Intervertebral foraminal approach  Lumbar spinal stenosis  Decompression range  Interlaminar approach  Spinal endoscopy
基金项目:华人民共和国国家发展和改革委员会项目(2019X000G142)
作者单位
李 鹏 沈忠达 黑龙江省佳木斯市中医院骨三科黑龙江佳木斯 154002 
摘要点击次数: 12
全文下载次数: 19
中文摘要:
      目的 研究脊柱内镜治疗腰椎管狭窄症中椎间孔入路和椎板间入路的减压范围和临床疗效。方法 选取2016 年12 月至2019 年12 月本院收治的腰椎管狭窄症患者150 例,随机分为对照组75 例(采用脊柱内镜下椎间孔入路方式)与研究组75 例(采用脊柱内镜下椎板间入路方式)。观察比较两组各项手术指征、ODI 评分、VAS评分、术后末次随访MacNab 优良率。结果 研究组手术时间、卧床时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术前两组ODI 评分、VAS 评分比较,差异无统计学意义(P>0.05);研究组术后ODI 评分、VAS 评分低于对照组,差异有统计学意义(P<0.05)。研究组术后末次随访MacNab 优良率为96.00%,高于对照组的86.67%,差异有统计学意义(P<0.05)。结论 脊柱内镜下椎板间入路方式比椎间孔入路方式的作用更佳,对于缩短患者的手术时间、减少术中出血量、提高临床疗效等有十分重要的意义。
英文摘要:
      Objective To study the decompression range and clinical effect of spinal endoscopy in the treatment of lumbar spinal stenosis.Methods A total of 150 patients with lumbar spinal stenosis admitted to our hospital from December 2016 to December 2019 were selected.All patients were divided into the control group 75 cases (with spine endoscopic intervertebral foraminal approach) and the study group 75 cases (using spinal endoscopic interlaminar approach).The various surgical indications,ODI score,VAS score and the excellent and good rate of MacNab at the last follow-up after surgery between the two goups were observed and compared.Results The operation time and bed rest in the study group were shorter than the control group,the intraoperative blood loss was less than the control group,the differences were statistically significant(P<0.05).There were no statistically significant differences in ODI score and VAS score of the two groups before treatment(P>0.05).After treatment,the ODI score and VAS score of the study group were statistically significant lower than those of the control group(P<0.05).The excellent and good rate of MacNab in the study group at the last follow-up after surgery was 96.00%,statistically significant higher than 86.67% in the control group(P<0.05).Conclusion The method of interlaminar approach under spinal endoscopy has a better effect than the method of foraminal approach in this study.It is of great significance for shortening the operation time of patients,reducing intraoperative blood loss and improving clinical efficacy.
查看全文  查看/发表评论  下载PDF阅读器
关闭
    • 关键词 :
    • 中国医生
    • 中国现代医生
    • 中国临床医生
    • 中国医师
    • 主任医师
    • 中国医学
    • 中华医学
    • 中国医院
    • 中国医药
    • 中国医疗
    • 现代医生
    • 现代医学
    • 现代医药
    • 现代医院
    • 现代药物
    • 现代护理
    • 现代临床
    • 医学杂志
    • 药学杂志
    • 医药杂志
    • 医生杂志
    • 医师杂志
    • 医疗杂志
    • 医药期刊
    • 医学期刊
    • 医药卫生期刊
    • 医药论文
    • 医学论文
    • 科研论文
    • 职称论文
    function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=CA2056D32C3CC3425C4A7B1BF7EF20B11E5F0EAE025435AB860569217E0CA814B17C85824B4E84CA74002A4AF2AB9FA4656F8895D9AF8A789F93F215374731E4C8C6D26659D55E5340110230641F50568840326CDEE9F7F77645FAADF1DF3FC6D23D04F454636BA2E3176E2F154BC39E7E25985F9271DC3886B61D7BB70037623954E3BC15F0BB876470CD34BB249A4237989A8031097F70CACAEE830DCD25537AABA6EE03136360A40230CD59E456D72F630EA7B5A0C4FB7AF657EDB6B099ECE6129D437BAE4635&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=BB33F1C95224820A&jid=8EDAEC11C165015425CEEA15366CB0A7&yid=9475FABC7A03F4AB&aid=&vid=&iid=708DD6B15D2464E8&sid=95D537AC89B28832&eid=8BD23BD67BF01A5C&fileno=2022279&flag=1&is_more=0">