导杆可视化椎间孔成形技术治疗腰椎间盘突出症  

Guide-rod visualized foraminoplasty in the treatment of lumbar disc herniation

作　　者：何成 樊拖迎 徐亚平 双峰[1] 张浩利 李浩[1] HE Cheng;FAN Tuo-ying;XU Ya-ping;SHUANG Feng;ZHANG Hao-li;LI Hao(Dept of Orthopaedics,the 908th Hospital of Joint Logistic Support Force of CPLA,Nanchang,Jiangxi 330002,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇八医院骨科,江西南昌330002

出　　处：《临床骨科杂志》2024年第2期171-175,共5页Journal of Clinical Orthopaedics

基　　金：江西省自然科学基金面上项目(编号:20171BAB205032);江西省卫健委科技计划基金(编号:202311388)。

摘　　要：目的探讨导杆可视化椎间孔成形技术治疗腰椎间盘突出症的临床效果。方法将76例采用经皮椎间孔镜髓核摘除术治疗的腰椎间盘突出症患者按照手术方法不同分为导杆可视组(采用导杆可视化椎间孔成形技术治疗,39例)和TESSYS组(采用经皮椎间孔内窥镜脊柱系统技术治疗,37例)。比较两组手术指标、疼痛VAS评分、ODI。结果患者均获得随访,时间6~13个月。住院时间两组比较差异无统计学意义(P>0.05)。术中透视次数及手术时间导杆可视组少(短)于TESSYS组(P<0.05)。疼痛VAS评分及ODI两组术后3 d、末次随访均较术前降低(P<0.05);术后各时间两组比较差异均无统计学意义(P>0.05)。结论导杆可视化椎间孔成形技术治疗腰椎间盘突出症可以减少术中透视次数,缩短手术时间,提高椎间孔成形效率和准确性,是一种安全高效的椎间孔镜技术。Objective To investigate the clinical effect of guide-rod visualized foraminoplasty in the treatment of lumbar disc herniation.Methods The 76 patients with lumbar disc herniation treated by percutaneous foraminoplasty nucleus pulposus discetomy were divided into guide-rod visualization group(39 cases treated with visualized foraminoplasty)and TESSYS group(37 cases treated with transforaminal endoscopic spine system),according to different surgical methods.Surgical indexes,pain VAS and ODI were compared between the two groups.Results All patients were followed up for 6~13 months.There was no statistical difference in hospital stay between the two groups(P>0.05).The frequency of intraoperative fluoroscopy and operation time were less(shorter)in the guide-rod visualization group than those in the TESSYS group(P<0.05).Pain VAS and ODI:at 3 d postoperation and the last follow-up,both groups were decreased than those before surgery(P<0.05);there were no statistical differences in postoperative various time-point between the two groups(P>0.05).Conclusions It is a safe and effective foraminoplasty technique for the treatment of lumbar disc herniation,guide-rod visualized foraminoplasty can reduce the frequency of intraoperative fluoroscopy,shorten the operation time,and improve the efficiency and accuracy of foraminoplasty.

关 键 词：腰椎间盘突出症 经皮内镜 导杆可视化椎间孔成形术 

分 类 号：R681.57[医药卫生—骨科学] R687.3[医药卫生—外科学]