经皮椎间孔镜治疗老年腰椎间盘突出症临床疗效分析  

Clinical effects of percutaneous transforaminal endoscopic discectomy for the treatment of senile lumbar disc herniation

作　　者：肖隆艺[1] 禤天航 曹正霖[1] 

机构地区：[1]广州中医药大学附属佛山市中医院骨科,广东佛山528000 [2]广州中医药大学,广州510405

出　　处：《中国临床解剖学杂志》2015年第4期482-484,共3页Chinese Journal of Clinical Anatomy

摘　　要：目的观察经皮椎间孔镜治疗保守治疗无效的老年腰椎间盘突出症患者的近期疗效。方法通过TESSYS椎间孔镜技术治疗24例老年性单节段腰椎间盘突出症,并使用VAS评分、ODI指数、及改良Macnab标准评价术后疗效。结果术后末次随访VAS评分为(1.83±0.48),明显低于术前(7.67±0.82)。术后末次随访ODI指数为(14.42±2.04)%,明显低于术前(69.83±2.82)%。改良Macnab疗效评价为:优20例,良3例,可1例。术后患者腿痛症状均得到有效缓解。结论经皮椎间孔镜治疗老年人腰椎间盘突出症近期疗效良好,远期效果还需进一步观察。Objective To analyze the effects of Percutaneous Endoscopic Lumbar Discectomy （PELD） in treatment of the senile lumbar disc herniation after conservative treatment. Methods 24 elderly in-paients with single lumbar disc herniation received PELD. The outcomes were evaluated with the visual analogue scale（VAS）, Oswestry disability index （ODI） and modified Macnab criteria before and after the operation. Results On the last follow-up after operation, VAS scores （1.83±0.48） were significantly lower than preoperative score （7.67 ± 0.82）. The postoperative last follow-up ODI （14.42 ± 2.04）% were also significantly lower than preoperative one （69.83 ± 2.82）%. Based on the modified Macnab criteria, the outcome was excellent in 20 cases, good in 3 and fair in 1. The leg pain symptoms were effectively relieved in all cases after operation. Conclusions PELD shows significant immediate effect in treating senile lumbar disc herniation and the long-term effects still need further observation.

关 键 词：椎间孔镜 髓核摘除术 射频消融 腰椎间盘突出症 

分 类 号：R681.53[医药卫生—骨科学]