单通道经椎间孔途径经皮椎间孔镜技术治疗不典型腰椎间盘突出症的疗效  

Clinical effect of TESSYS technique of percutaneous transforaminal endoscopic discectomy for atypical lumbar disc herniation

作　　者：何丁文[1] 陈伟才[1] 魏强强[1] 程细高[1] 

机构地区：[1]南昌大学第二附属医院,330006

出　　处：《实用医学杂志》2015年第8期1288-1291,共4页The Journal of Practical Medicine

基　　金：江西省科技计划项目(编号:20142BBG70069)

摘　　要：目的:观察单通道经椎间孔途径(TESSYS)经皮椎间孔镜技术诊治不典型腰椎间盘突出症的临床疗效。方法:应用TESSYS技术诊治不典型腰椎间盘突出症患者18例,术前、术后即刻及1、3个月采用数字评分(NRS)评价腰腿痛,评估术前、术后末次随访Oswestry功能障碍指数(ODI),改良Mac Nab标准判定疗效。结果 :术后NRS评分均较术前显著降低(P<0.01);术后末次ODI明显低于术前(P<0.05);术后Mac Nab优良率为88.89%(16/18)。1例术后右骶尾部出现疼痛,局部封闭后缓解;1例术后下肢疼痛无改善且肌力减退,1周后行开放手术。结论:TESSYS技术可有效诊治不典型腰椎间盘突出症,临床效果比较满意,值得临床推广。Objective To observe the clinical effect of transforaminal endoscopic surgical system （TESSYS） technique for atypical lumbar disc herniation. Methods Eighteen patients with atypical lumbar disc herniation underwent TESSYS technique under local anesthesia. Numerical rating scale （NRS） was used to evaluate the sciatica and/or back pain. The outcomes were evaluated by Oswestry disability index （ODI） and the Macnab score. Results The postoperative NRS scales were significantly lower than preoperative one （P 〈 0.01 ）. The postoperative ODI was lower than preoperative one （P 〈 0.05）. Good rate of modified Macnab criteria was 88.89%. One patient occurred right hip pain and disappeared after partial closure, one patient turned to open surgery at 1 week. Conclusion The TESSYS technique was an effective method for atypical lumbar disc herniation. It has satisfactory clinical effect which is worthy of spreading for clinical application.

关 键 词：椎间盘移位 TESSYS技术 不典型 疗效 

分 类 号：R687.3[医药卫生—骨科学]