经皮内镜下椎板间入路治疗腰椎间盘突出症 |
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引用本文: | 曾杉,郭剑,徐远林,韩明远.经皮内镜下椎板间入路治疗腰椎间盘突出症[J].临床骨科杂志,2016(3). |
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作者姓名: | 曾杉 郭剑 徐远林 韩明远 |
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作者单位: | 宁波市北仑区人民医院骨科,浙江 宁波,315800 |
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基金项目: | 浙江省卫生适宜技术成果转化计划(B 类)(编号2015ZHB005) |
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摘 要: | 目的探讨经皮内镜下椎板间入路治疗腰椎间盘突出症的临床疗效。方法对35例腰椎间盘突出症患者采用经皮内镜下椎板间入路摘除突出的椎间盘组织,采用疼痛视觉模拟评分系统(VAS)及改良Mac Nab标准评价疗效。结果 35例均获得随访,时间2~l2个月。术后患者VAS评分较术前明显下降,差异有统计学意义(P0.05)。根据改良Mac Nab标准评价:优27例,良4例,可2例,差2例,优良率88.6%。结论经皮内镜下椎板间入路治疗腰椎间盘突出症创伤小,早期疗效满意。
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关 键 词: | 内窥镜 腰椎间盘突出症 外科手术 微创性 椎间盘切除术 经皮 |
Percutaneous endoscopic interlaminar discectomy on lumbar disc herniation |
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Abstract: | Objective To evaluate the clinical outcomes of percutaneous endoscopic interlaminar discectomy ( PEID) in treating lumbar disc herniation .Methods Thirty-five patients with lumbar disc herniation were treated by PEID , visual analogue scale ( VAS) and the modified Macnab standard were used to evaluate the efficiency .Results All the patients were followed up for 2~12 months.The VAS significantly decreased postoperatively comparing with that preoperatively, and the differences was statistically significant (P<0.05).According to modified MacNab standard , the clinical effects were excellent in 27 cases, good in 4,fair in 2 and poor in 2.The excellent and good rate was 88.6%.Conclusions PEID has advantages of minimal trauma .Short-term efficacy is satisfactory . |
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Keywords: | endoscopy lumbar disc herniation surgical procedures minimally invasive diskectomy percutaneous |
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