椎间孔镜下TESSYS技术治疗伴钙化的腰椎间盘突出症的疗效  

Efficacy of transforaminal endoscopic spine system （ TESSYS ） in the treatment of patients with calcified lumbar intervertebral disc herniation

作　　者：温志娟[1] 王德强[1] 曲明芬 高勇[1] 于慧[1] 崔静[1] 

机构地区：[1]山东省滨州医学院附属医院疼痛科,256603

出　　处：《实用疼痛学杂志》2015年第1期24-29,共6页Pain Clinic Journal

摘　　要：目的探讨椎间孔镜下TESSYS技术治疗伴有钙化的腰椎间盘突出症的疗效。方法应用椎间孔镜TESSYS技术治疗伴有钙化的腰椎间盘突出症患者21例，随访时间6个月。比较术前及术后即刻、3d、1个月、3个月、6个月的视觉模拟评分（VAS）、日本骨科协会评估治疗分数（JOA）、Oswestry功能障碍指数（ODI），末次随访采用改良MacNab标准进行疗效评定。结果与术前相比，术后各时点VAS、Oswestry评分降低，JOA评分升高，差异有统计学意义（P〈0．05）；术后6个月较术后其他时点，VAS、Oswestry降低，JOA评分升高，差异有统计学意义（P〈0．05）；MacNab评定优良率为90．5％（19／21例）。结论经皮椎间孔镜下TESSYS技术治疗伴钙化的腰椎间盘突出症效果好，且术后6个月时效果更好。Objective To investigate the efficacy of transforaminal endoscopic spine system （TESSYS） in the treatment of patients with calcified lumbar intervertebral disc herniation. Methods Twenty-one patients with calcified lumbar disc herniation were enrolled in this study and treated with TESSYS. All patients were followed-up 6 months. VAS, JOA, Oswestry disability index （ODI） were measured in preoperation, postoperative instantly, and at 3 days, 1 month, 3 months and 6 months after the operation, and modified MacNab criteria was assessed at 6 months postoperatively. Results VAS and Oswestry scores were significantly lower, JOA score was higher at each time point after the operation （P 〈 0.05）; and there were significant differences in VAS, Oswestry scores and JOA score between 6 months and other time points （P 〈 0.05）; the excellent and good rate was 90.5%（19/21 cases）. Conclusion Transforaminal endoscopic spine system （TESSYS） is effective in the treatment of patients with calcified lumbar disc herniation, with a better efficacy at 6 months after the operation.

关 键 词：椎间孔镜技术 腰椎间盘突出症 外科手术 微创性 

分 类 号：R681.53[医药卫生—骨科学]