显微内窥镜下手术治疗退变性腰椎管狭窄症
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作者Author单位AddressE-Mail
蔡福金 CAI Fu-jin 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA cfj@publicl.wx.js.cn 
刘富华 LIU Fu-hua 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
刘晓晖 LIU Xiao-hui 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
朱建平 ZHU Jian-ping 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
刘云鹏 LIU Yun-peng 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
李宏 LI Hong 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
许科峰 XU Ke-feng 解放军第101医院骨科, 江苏无锡214044 Department of Orthopaedics,the 101th Hospital of PLA  
期刊信息:《中国骨伤》2004年,第17卷,第7期,第405-407页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:
中文摘要:

目的:评价显微内窥镜下手术治疗退变性腰椎管狭窄症的临床效果。

方法:用METRX手术系统对23例退变性腰椎管狭窄症患者在显微内窥镜下行手术减压,以ODI(oswestrydisabilityindex)(Version2.0)评分法对患者术前及术后9个月评分,并综合满意度评估。

结果:术前ODI评分平均71.32±18.62,术后平均39.84±17.38,Wilcoxon秩和检验手术前后ODI评分差异显著,手术综合满意程度:优11例,良6例,可3例,差0例,优良率85%。

结论:显微内窥镜下手术减压可以治疗退变性腰椎管狭窄症,但应注意适应证的选择,微创下难以处理时应中转为常规开放手术。
【关键词】腰椎  椎管狭窄症  显微内窥镜  外科手术
 
Microendoscopic-assisted decompression for degenerative lumbar spinal canal stenosis
ABSTRACT  

Objective:To evaluate the clinical results of microendoscopy-assisted decompression for lumbar degenerative spinal canal stenosis.

Methods:Twenty-three patients of degenerative lumbar spinal canal stenosis were treated with microendoscopy-assisted decompression and they were evaluated by ODI(oswestry disability index)(Version 2.0) before operation and 9 months after operation.General satisfaction of the operation was also evaluated.

Results:Preoperative and postoperative ODI score were 71.32±18.62 and 39.84±17.38 respectively.There was statistically significant using the Wilcoxon’s rank sum test.Satisfaction degree for the treatment was excellent in 11 cases,good in 6 cases,fair in 3 cases and no poor.The excellent and good rate was 85%.

Conclusion:Microendoscopy-assisted decompression can be used for the treatment of lumbar degenerative spinal canal stenosis,but not for all the patients.When it is difficult to deal with,the standard open decompression is needed.
KEY WORDS  Lumbar vertebrae  Spinal canal stenosis  Microendoscope  Surgery,operative
 
引用本文,请按以下格式著录参考文献:
中文格式:蔡福金,刘富华,刘晓晖,朱建平,刘云鹏,李宏,许科峰.显微内窥镜下手术治疗退变性腰椎管狭窄症[J].中国骨伤,2004,17(7):405~407
英文格式:CAI Fu-jin,LIU Fu-hua,LIU Xiao-hui,ZHU Jian-ping,LIU Yun-peng,LI Hong,XU Ke-feng.Microendoscopic-assisted decompression for degenerative lumbar spinal canal stenosis[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(7):405~407
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