| 显微内窥镜下手术治疗退变性腰椎管狭窄症 |
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Received:October 10, 2003
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| 作者 | Author | 单位 | Unit | E-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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 期刊信息：《中国骨伤》2004年17卷，第7期，第405-407页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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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 |
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| Microendoscopic-assisted decompression for degenerative lumbar spinal canal stenosis |
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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. |
| KEYWORDS:Lumbar vertebrae Spinal canal stenosis Microendoscope Surgery,operative |
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| 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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