| 经微创通道与经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症的比较 |
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| 引用本文： | 吴贤良,杨智明,黄建军. 经微创通道与经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症的比较[J]. 中国骨与关节损伤杂志, 2019, 34(5): 468-471 |
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| 作者姓名： | 吴贤良 杨智明 黄建军 |
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| 作者单位： | 福建医科大学附属宁德市医院脊柱外科,福建,352100;中南大学湘雅医院国际医疗部外科 |
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| 摘 要： | 目的比较经微创通道髓核摘除术与经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症的疗效,并总结手术适应证及操作技巧。方法回顾性分析自2012-01—2016-01诊治的32例极外侧型腰椎间盘突出症,12例行微创通道下髓核摘除术(微创通道组),20例行经皮椎间孔镜髓核摘除术(椎间孔镜组)。比较2组手术时间、术中出血量,术后3个月疼痛VAS评分、ODI指数,以及末次随访时MacNab疗效评定结果。结果 32例均获得随访,随访时间平均14个月,随访期间均未复发。微创通道组与椎间孔镜组手术时间比较差异无统计学意义(P>0.05);但椎间孔镜组术中出血量明显少于微创通道组,差异有统计学意义(P <0.05)。微创通道组与椎间孔镜组术后3个月疼痛VAS评分、ODI指数、MacNab疗效评定结果差异无统计学意义(P>0.05)。结论经微创通道与经皮椎间孔镜髓核摘除术治疗极外侧型腰椎间盘突出症安全有效,不破坏手术节段稳定性,临床疗效相似,但经皮椎间孔镜手术创伤更小。然而高髂棘、横突肥大、腰骶角度过大、巨大髓核脱出钙化患者不适宜采用这两种手术。
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| 关 键 词： | 极外侧型腰椎间盘突出症 微创通道 经皮椎间孔镜技术 |
Comparison of clinical effect between minimally invasive channel and percutaneous transforaminal endoscopic discectomy in treatment of far lateral lumber disc herniation |
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| WU Xian-liang,YANG Zhi-ming,HUANG Jian-jun. Comparison of clinical effect between minimally invasive channel and percutaneous transforaminal endoscopic discectomy in treatment of far lateral lumber disc herniation[J]. Chinese Journal of Bone and Joint Injury, 2019, 34(5): 468-471 |
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| Authors: | WU Xian-liang YANG Zhi-ming HUANG Jian-jun |
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| Affiliation: | (Department of Spine Surgery,Ningde City Hospital Affiliated to Fujian Medical University,Ningde,Fujian 352100,China) |
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| Abstract: | WU Xian-liang;YANG Zhi-ming;HUANG Jian-jun(Department of Spine Surgery,Ningde City Hospital Affiliated to Fujian Medical University,Ningde,Fujian 352100,China) |
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| Keywords: | Far lateral lumber disc herniation Minimally invasive channel Percutaneous transforaminal endoscopic discectomy |
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