椎间孔镜治疗脱出型腰椎间盘突出症疗效分析  

ANALYSIS OF THERAPEUTIC EFFECT OF TRANSFORAMINAL ENDOSCOPIC SPINE SYSTEM ON PROLAPSED LUMBAR DISC HERNIATION

作　　者：隰建成[1] 马远征[1] 崔旭[1] 胡明[1] 刘向东[1] 白一冰[1] 

机构地区：[1]解放军第309医院骨科全军骨科中心,北京100091

出　　处：《中国疼痛医学杂志》2013年第1期35-38,共4页Chinese Journal of Pain Medicine

摘　　要：目的：探讨椎间孔镜技术治疗脱出型腰椎间盘突出症的临床疗效。方法：选择自2009年11月至2011年5月在我院应用椎间孔镜技术治疗的脱出型腰椎间盘突出症、并且随访资料完整的患者19例;随访时间6月~22月,平均随访13月。比较术前、术后即刻、1周、3月、6月、12月、22月的日本骨科协会评估治疗分数（Japanese orthopaedic association,JOA）、视觉模拟评分（visualanalogue scale,VAS）、MacNab评分及疼痛功能指数评分（Oswestry,2.0版本）,分析临床疗效。结果：19例患者术后JOA评分较术前明显升高,术后VAS和Oswestry评分较术前明显降低,MacNab评分优良率为84.21%,重复测量数据的Bonferroni法检验有统计学意义（P〈0.01）。结论：椎间孔镜技术是治疗脱出型腰椎间盘突出症的有效方法。Objective： To investigate therapeutic effect of transforaminal endoscopic spine system（TESSYS） on prolapsed lumbar disc herniation.Methods： From Nov 2009 to May 2011,19 patients who suffered from prolapsed lumbar disc herniation were enrolled in this study and treated with TESSYS.Japanese orthopaedic association（JOA） score,the visual analoguescore（VAS）,MacNab scale and Oswestry Score（version 2.0） were measured in the preoperative and postoperative phases of patients.The patients were followed-up from 6 to 22 months,the average time of follow-up was 13 months.Results： Postoperative JOA score was significantly higher than preoperative（P 0.01）;Postoperative VAS and Oswestry score were significantly lower than preoperative（P 0.01）,the rate of execellent was 84.21% according to MacNab scale.Conclusions：Prolapsed lumbar disc herniation can be effectively treated with TESSYS.

关 键 词：椎间孔镜 脱出型腰椎间盘突出 疗效 

分 类 号：R681.53[医药卫生—骨科学]