可视镜外环锯技术在椎间孔镜治疗腰椎间盘突出症中的应用被引量：3

Application of external circular saw technique in intervertebral foramen in the treatment of lumbar disc herniation

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摘要目的:观察可视镜外环锯技术在经皮椎间孔镜手术中应用的取得的效果。方法:随机将40例椎间盘突出症患者分为观察组和对照组。观察组将可视镜外环锯技术应用于经皮椎间孔镜手术,对照组采用常规经皮椎间孔镜手术。比较两组手术总时间、椎间孔成形时间、术中摄片次数、术后疗效。结果:观察组中手术总时间、椎间孔成形时间、及术中摄片次数均显著少于对照组。两组术后VAS及ODI评分差异无统计学意义。两组均未出现硬膜囊破裂导致的根性损伤。结论:可视镜外环锯技术在椎间孔镜手术中应用能够明显缩短手术总时间、减少椎间孔成形时间及术中X线摄片次数,从而提高手术效率。 Objective To observe the effect of external ring saw technique in percutaneous intervertebral foramen surgery.Methods 40 patients with disc herniation were randomly divided into observation group and control group.In the observation group,the external circumferential circular saw technique was applied to percutaneous intervertebral foramen surgery,while in the control group,routine percutaneous intervertebral foramen surgery was performed.The total operation time,foraminal foramen forming time,intraoperative film frequency and postoperative effect of the two groups were compared.Results The total operation time,foraminal foramen forming time and intraoperative film taking times in the observation group were significantly less than those in the control group.Postoperative VAS and ODI scores showed no significant difference between the two groups.There was no root injury caused by rupture of dural sac in both groups.Conclusion The application of external circumferential ring saw technique in foraminal foramen operation can shorten the total operation time,reduce the foraminal forming time and the number of X-ray pictures during operation,and thus improve the operation efficiency.

作者李丰付军初唐国柯黄庆华柒铭铭 Li Feng;Fu Jun-chu;Tang Guo-ke;Huang Qing-hua;Qi Ming-ming(Zhuzhou Central Hospital,Zhuzhou 412000,China)

机构地区株洲市中心医院脊柱外科

出处《湖南师范大学学报（医学版）》 2020年第4期116-118,共3页 Journal of Hunan Normal University(Medical Sciences)

关键词腰椎间盘突出症可视环锯经皮椎间孔镜 lumbar disc herniation visible ring saw percutaneous intervertebral foramen

分类号 R687.3 [医药卫生—骨科学]

作者简介通讯作者:柒铭铭,E-mail:14663376@qq.com

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1刘丰平,赵红卫,陈海丹,罗茗刈.TESSYS椎间孔镜治疗腰椎间盘突出症的学习曲线及经验[J].中国矫形外科杂志,2016,24(3):235-241. 被引量：63
2黄保华,钟远鸣,陈远明,黄中飞,黄剑峰.经椎间孔经皮内镜治疗中央型腰椎管狭窄症[J].中国矫形外科杂志,2018,26(1):79-83. 被引量：21
3李广松,乔荣慧,刘伟,万昌胜,丁坤,汪巍.经皮椎间孔镜下TESSYS技术治疗L_5-S_1神经根管狭窄症[J].颈腰痛杂志,2016,37(5):396-399. 被引量：16
4张金虎,陈德喜,张建旭,李巍,刘玉江,王博,赵景明,姚汝瞻.经皮椎间孔镜TESSYS技术与PEID技术治疗L_5S_1椎间盘突出症的疗效观察[J].中国骨与关节损伤杂志,2016,31(9):929-932. 被引量：22

二级参考文献46

1周跃.微创技术在腰椎外科手术中的应用概述[J].中国骨与关节外科,2013,6(S1):17-23. 被引量：16
2周跃.微创脊柱外科技术的发展与展望[C].中华医学会第十二届骨科学术会议暨第五届国际COA学术大会骨科教程汇编,2010:260-261.
3Hoogland T, Schubert M, Miklitz B,et al. Transforaminal posterolater- al endoscopic discectomy with or without the combination of a low - dose chymopapain : a prospective randomized study in 280 consecutive cases [ J ]. Spine,2006,31 (24) :890 - 897.
4MacNab I. Negative disc exploration: an analysis of the causes of nerve - root involvement in sixty - eight patients [J]. J Bone Joint Surg Am,1971,53(5) :891 -903.
5Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation : surgical technique, outcome, and complications in 307 consecutive eases [ J ]. Spine,2002,27 ( 7 ) :722 - 731.
6Tsou PM, Yeung AT. Transforaminal endoscopic decompression for radieulopathy secondary to intracanal noneontained lumbar disc her- niations : outcome and technique [ J ]. Spine J,2002,2 ( 1 ) :41 - 48.
7Ramsay CR, Grant AM, Wallace SA, et al. Assessment of the learning curve in health technologies [ J ]. Int J Technol Assess Health Care, 2000,16(4) :1095 - 1108.
8Chaichankul C, Poopitaya S, Tassanawipas W. The effect of learning curve on the results of percutaneous transforaminal endoscopic lumbar discectomy[J]. J Med Assoc Thai, 2012,95 ( Suppl 10 ) : $206 - 212.
9Zacchino M, Almolla J, Canepari E, et al. Use of ultrasound - magnet- ie resonance image fusion to guide sacroiliac joint injections:a pre- liminary assessment [ J ]. J Ultrasound,2013,16 (3) : 111 - 118.
10Chumnanvej S, Wetchagama N, Kounsongtham V. Accuracy of needle - tip localization by ultrasound guidance lumbar selective nerve root block:a prospective clinical study of 78 lumbar nerve roots block [J]. J Med Assoc Thai,2011,94(12) :1451 - 1456.