靶向引导下全可视化内镜椎间孔成形治疗腰椎管狭窄  

Full visualization endoscopic foraminoplasty for treatment of lumbar spinal stenosis under targeted guidance

作　　者：吴亚鹏[1] 王达义[1] 尚晖[1] 郭晓鹏[1] 郭振鹏[1] 杨棋[1] WU Ya-peng;WANG Da-yi;SHANG Hui;GUO Xiao-peng;GUO Zhen-peng;YANG Qi(Dept of Spinal Surgery,Taihe Hospital Affiliated to Hubei University of Medicine,Shiyan,Hubei 442000,China)

机构地区：[1]湖北医药学院附属太和医院脊柱外科,湖北十堰442000

出　　处：《临床骨科杂志》2024年第6期773-775,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨靶向引导下全可视化内镜椎间孔成形治疗腰椎管狭窄的疗效。方法对68例腰椎侧隐窝狭窄患者采用靶向引导下全可视化内镜椎间孔成形技术治疗。记录手术情况,采用疼痛VAS评分评估患者腰痛和下肢疼痛程度,采用ODI评估腰椎功能,采用改良MacNab标准评价疗效。结果患者均获得随访,时间12~25个月。手术时间35~65(43.5±10.2)min,术中透视4~8(5.3±1.3)次,住院时间2~7(3.3±0.8)d。术后1周、3个月、末次随访时,腰、腿痛VAS评分和ODI均较术前改善(P<0.05),术后各时间点比较差异均无统计学意义(P>0.05)。末次随访时,根据改良MacNab标准评价疗效:优38例,良25例,可5例,优良率为92.6%。结论靶向引导下全可视化内镜椎间孔成形治疗腰椎管狭窄可缓解疼痛,改善功能,临床疗效满意。Objective To investigate the efficacy of lumbar spinal stenosis treated with full visualization endoscopic foraminoplasty under targeted guidance.Methods The 68 patients with lumbar spinal stenoses were treated by full visualization endoscopic foraminoplasty under targeted guidance.The operation conditions were recorded.The pain VAS was used to assess the degree of low back pain and leg pain,and lumbar ODI was used to evaluate the lumbar function.The curative effect was evaluated by modified MacNab standard.Results All patients were followed up for 12~25 months.The operation time was 35~65(43.5±10.2)min;the intraoperative fluoroscopy frequency was 4~8(5.3±1.3)times;the length of hospital stay was 2~7(3.3±0.8)d.At 1 week,3 months and final follow-up,the VAS of low back pain and leg pain,and ODI were improved than the preoperation(P<0.05),there were no statistical differences at various time points.At the final follow-up,according to the modified MacNab evaluation criterion,38 cases were excellent,25 good,5 fair,and the excellent-good rate was 92.6%.Conclusions The treatment of lumbar spinal stenosis with full visualization endoscopic foraminoplasty under targeted guidance can relieve the pain and improve function,with satisfactory efficacy.

关 键 词：腰椎管狭窄 脊柱内镜 可视化 微创 

分 类 号：R681.55[医药卫生—骨科学] R687.3[医药卫生—外科学]