| 全内镜I See技术治疗单节段退行性腰椎管狭窄症 |
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投稿时间：2019-06-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 文杰 |
WEN Jie |
甘肃省中医药大学临床医学院, 甘肃 兰州 730000
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 张辉 |
ZHANG Hui |
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 宋玉鑫 |
SONG Yu-xin |
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 张富强 |
ZHANG Fu-qiang |
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 王栋 |
WANG Dong |
甘肃省中医药大学临床医学院, 甘肃 兰州 730000
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 王中华 |
WANG Zhong-hua |
甘肃省中医药大学临床医学院, 甘肃 兰州 730000
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
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| 刘林 |
and LIU Lin |
甘肃省人民医院骨二科, 甘肃 兰州 730000 |
The Second Department of Orthopaedics, Gansu Provincial People's Hospital, Lanzhou 730000, Gansu, China |
18093298645@163.com |
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| 期刊信息：《中国骨伤》2020年，第33卷，第5期，第401-405页 |
| DOI：10.12200/j.issn.1003-0034.2020.05.003 |
| 基金项目:甘肃省人民医院院内科研基金项目（编号：18GSSY4-16） |
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中文摘要:
目的：探讨全内镜I See技术治疗单节段退行性腰椎管狭窄症的临床疗效及优势。
方法：回顾性分析2017年1月至2018年3月采用全内镜I See技术治疗的38例单节段退行性腰椎管狭窄症患者的临床资料，其中男16例，女22例；年龄35~79（53.45±12.56）岁；手术节段L3，4 5例，L4，5 23例，L5S1 10例。术后采用腰腿痛VAS评分、ODI评分、Macnab评定标准评估临床疗效。
结果：所有患者获得术后12个月以上的随访。手术时间55~130（86.0±17.5）min，术中出血量10~50（17±6）ml，住院时间3~7 d，平均4.6 d。腰腿痛VAS评分及ODI评分术前与术后3 d，3、12个月相比差异均有统计学意义（P<0.05）。根据腰椎功能Macnab评定标准，优15例，良19例，可4例。
结论：全内镜I See技术治疗单节段退行性腰椎管狭窄症疗效确切，具有创伤小、住院时间短、恢复快等优势。 |
| 【关键词】全内镜 脊柱融合术 退行性腰椎管狭窄症 |
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| Full endoscopic I See technique for the treatment of single-segment degenerative lumbar spinal stenosis |
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ABSTRACT
Objective: To investigate the clinical efficacy and advantages of the full endoscopic I See technique for the single-segment degenerative lumbar spinal stenosis.
Methods: The clinical data of 38 patients with the single-segment degenerative lumbar spinal stenosis treated by full endoscopic I See technique from January 2017 to March 2018 were analyzed retrospectively. There were 16 males and 22 females,aged from 35 to 79 years with an average of(53.45 ±12.56) years. Five cases were L3,4,23 cases were L4,5,10 cases were L5S1. The clinical efficacy was evaluated by VAS,ODI and Macnab scores.
Results: All the patients were followed up for more than 12 months after operation. The length of operation was from 55 to 130 (86.0±17.5) min. Intraoperative blood loss was ranging from 10 to 50(17±6) ml,and the hospitalization length was from 3 to 7 days with an average of 4.6 days. The VAS scores of low back pain assessed before operation,and 3 d,3 months,12 months post-operation were 6.67±1.25,3.87±1.35,2.55±1.21,2.05±0.97,respectively,and the differences were statistically significant(P<0.05);VAS scores of leg pain at these time-points were 7.85±2.62,3.31±1.42,2.02±1.13,1.85±0.86,respectively,and the differences were statistically significant(P<0.05);ODI scores were 40.32±5.38,25.76±4.81,12.66±4.64,9.32±2.91,respectively,and the differences were statistically significant (P<0.05). Tevaluate the lumbar vertebrae function according to the Macnab criteria,15 cases obtained excellent results,19 cases were good,and 4 cases were fair.
Conclusion: Full endoscopic I See technique is effective in the treatment of single-segment degenerative lumbar spinal stenosis,with the advantages of less trauma,shorter hospital stay,and faster recovery. |
| KEY WORDS Full endoscopy Spinal fusion Degenerative lumbar spinal stenosis |
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| 中文格式: | 文杰,张辉,宋玉鑫,张富强,王栋,王中华,刘林.全内镜I See技术治疗单节段退行性腰椎管狭窄症[J].中国骨伤,2020,33(5):401~405 |
| 英文格式: | WEN Jie,ZHANG Hui,SONG Yu-xin,ZHANG Fu-qiang,WANG Dong,WANG Zhong-hua,and LIU Lin.Full endoscopic I See technique for the treatment of single-segment degenerative lumbar spinal stenosis[J].zhongguo gu shang / China J Orthop Trauma ,2020,33(5):401~405 |
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