Thessys椎间孔镜技术治疗腰椎间盘突出症疗效分析  

Percutaneous transforaminal endoscopic discectomy for the relief of pain with lumbar disc herniations

作　　者：薛祥云[1] 左小华[1] 张前西 赵红霞[1] 王茜[1] 徐进[1] 陈波涛[1] 马柯[1] 张林[1] 薛雪[1] 杨茜[1] 

机构地区：[1]江苏省淮安市第二人民医院疼痛科,江苏淮安223002

出　　处：《颈腰痛杂志》2013年第3期228-230,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的探讨经皮椎间孔镜技术治疗腰椎间盘突出症的疗效。方法对2011-05-2012-03期间的腰椎间盘突出症患者21例,采用视觉模拟评分法(VAS法)和改良Macnab疗效评定标准测评入院时和椎间孔镜术后(术后当时、术后一周、一月、三月及六月),评估经皮椎间孔镜技术(PTED)治疗腰椎间盘突出症的疗效和安全。结果术后当时、术后一周、一月、三月、六月VAS评分分别为(1.62±0.74)、(2.90±0.88)、(1.57±0.50)、(1.57±0.74)和(2.14±0.65)均显著低于术前的(8.71±0.84)(P值均<0.01),根据改良Macnab疗效评定优17例,良2例,可2例。术后优良率均为90.47%,3例老年患者于术后出现腰背肌肉痉挛,于腰大肌肌间沟神经阻滞后症状消失。结论椎间孔镜对腰椎间盘突出症近期疗效确切。Objective To assess therapeutic effect of percutaneous transforaminal endoscopic diseectomy for the relief of pain with lumbar disc herniations. Methods Twenty one patients （2011- 05-2012-03） were treated with percutaneous transforaminal endoscopic discectomy,and their improvement after operation was ev.aluated according to the visual analogue scale（VAS） and the modi- fied MacNab criterion. Results The mean pain scores before and after treatment,at one week,one, three and six months after treatment and at the final follow-up were 8.71±0.84,1.62±0.74,2.90±0.88, 1.57±0.50,1.57±0.74,2.14±0.65,respectively. According to modified criteria for grading resuhs,90.47% of these patients had excellent and good outcomes at one week, one and three months after treat- ment. Back muscle spasns appeaned in 3 cases of postopesatine elderly patieats but it disappeared when psoas compartment block was taken. Conclusion Percutaneous transforaminal endoscopic dis- cectomy are effective in the treatment of pain resulting from lumbar disc herniations.

关 键 词：Thessys椎间孔镜 腰椎间盘突出症 

分 类 号：R681.3[医药卫生—骨科学]