Delta大通道内镜腰椎间盘切除术的临床研究  

A clinical study on delta large channel endoscope used for lumbar discectomy

作　　者：琚顺林 王聪 孙建华[2] JU Shun-lin;WANG Cong;SUN Jian-hua(Medical College,Shihezi University,Shihezi 832000,China;The First Affiliated Hospital,Shihezi University,Shihezi 832000,China)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第一附属医院,新疆石河子832000

出　　处：《中国矫形外科杂志》2024年第17期1622-1625,共4页Orthopedic Journal of China

基　　金：科技创新人才计划项目(编号:2020TD01)。

摘　　要：[目的]评价Delta大通道内镜手术治疗腰椎间盘突出症的临床疗效。[方法]回顾性分析2020年1月—2021年10月接受Delta大通道内镜治疗腰椎间盘突出症73例患者的临床资料。评估临床及影像结果。[结果]所有患者手术顺利完成。手术时间平均(78.1±24.0)min,术中透视次数平均(3.3±1.0)次,患者平均随访时间(18.2±5.3)个月。与术前相比,术后3个月和末次随访时腰痛VAS[(5.6±1.8),(1.8±1.0),(1.1±0.9),P<0.001]及腿痛VAS评分[(7.5±1.5),(1.3±1.0),(1.1±0.8),P<0.001]、ODI[(70.3±15.7),(15.2±10.3),(7.6±6.0),P<0.001]、JOA评分[(10.3±3.3),(20.9±2.0),(23.8±3.3),P<0.001]均显著改善。影像方面,与术前相比,末次随访时腰椎前凸角度无显著变化(P>0.05),但是椎间盘高度指数[(26.6±4.9)%,(28.2±5.2)%,P<0.001]显著增加。[结论]Delta大通道内镜治疗腰椎间盘突出症的疗效总体满意,可作为临床上治疗腰椎间盘突出症的微创手术方式。[Objective]To evaluate the clinical efficacy of discectomy under delta large channel endoscope in the treatment of lumbar disc herniation.[Methods]A retrospective study was conducted on 73 patients who received the large-channel endoscopic discectomy for lumbar disc herniation from January 2020 to October 2021.The clinical and imaging data were evaluated.[Results]All the patients were successfully operated with the average operative time of(78.1±24.0)min,intraoperative fluoroscopy of(3.3±1.0)times,and followed up for(18.2±5.3)months.Compared with those preoperatively,back pain VAS[(5.6±1.8),(1.8±1.0),(1.1±0.9),P<0.001],leg pain VAS score[(7.5±1.5),(1.3±1.0),(1.1±0.8),P<0.001],ODI[(70.3±15.7),(15.2±10.3),(7.6±6.0),P<0.001],JOA score[(10.3±3.3),(20.9±2.0),(23.8±3.3),P<0.001]significantly improved 3 months postoperatively and at the last follow-up.Radiographically,the lumbar lordosis remained unchanged at the last follow-up compared with that before surgery(P>0.05),but the intervertebral disc height index increased significantly[(26.6±4.9)%,(28.2±5.2)%,P<0.001].[Conclusion]The delta endoscopy achieves generally satisfactory consequences in the treatment of lumbar disc herniation,and is a minimally invasive surgical method.

关 键 词：腰椎间盘突出症 Delta大通道脊柱内镜 椎间盘切除术 

分 类 号：R687[医药卫生—骨科学]