硬膜外腔镜下激光减压术治疗腰椎间盘突出症的近期疗效  

Short-term effects of trans-sacral epiduroscopic laser decompression in the treatment of lumbar disc herniation

作　　者：张洁 曹奇 唐晓军 王爱军 冷晶晶 陈康 向玉林 陈小明 ZHANG Jie;CAO Qi;TANG Xiaojun;WANG Aijun;LENG Jingjing;CHEN Kang;XIANG Yulin;CHEN Xiaoming(Department of Spinal Surgery,the Second Affiliated Hospital,University of South China,Hengyang 421001,Hunan,China)

机构地区：[1]南华大学附属第二医院脊柱外科,湖南衡阳421001

出　　处：《中南医学科学杂志》2020年第5期461-464,共4页Medical Science Journal of Central South China

摘　　要：评估经骶管裂孔硬膜外腔镜下激光减压术治疗腰椎间盘突出症的近期疗效。回顾性分析经骶管裂孔硬膜外腔镜下激光减压术治疗腰椎间盘突出症23例,观察手术时间、术中出血量和住院时间,采用视觉模拟评分(visual analog scale,VAS)评估术前和术后患者腰腿痛情况,改良MacNab评分评估患者腰部功能恢复情况。结果显示术后VAS评分与术前相比差异均有统计学意义(P<0.05),优良率达82.6%,该技术治疗腰椎间盘突出症具有创伤小、出血少、短期疗效满意等优点,值得临床推广。To evaluate the short-term effects of trans-sacral epiduroscopic laser decompression(SELD)in the treatment of lumbar disc herniation(LDH).It retrospectively analyzed 23 patients with LDH underwent Trans-Sacral Epiduroscopic Laser Decompression.The average operation time,intraoperative blood loss and length of hospital stay were collected.The lumbocrural pain perception of patients before and after surgery was assessed by visual analog scale(VAS)and postoperative lumbar functional recovery after surgery by modified MacNab criteria.The results showed that there was a statistical difference between preoperative scores and postoperative scores(P<0.05).Modified MacNab criteria was a ratio of 82.6%,SELD on the treatment of lumbar disc herniation have small area of trauma,less bleeding,satisfactory short-term effect and several other advantages,and it is worthy of further promotion.

关 键 词：骶管裂孔硬膜外腔镜 腰椎间盘切除术 腰椎间盘突出症 微创治疗 

分 类 号：R687.3[医药卫生—骨科学]