摘要
目的:评价经皮内窥镜下腰椎间盘切除术(PELD)治疗极外侧型腰椎间盘突出症的可行性和有效性。方法:2006年10月～2007年12月采用PELD治疗极外侧型腰椎间盘突出症患者17例,其中椎间孔内型11例,椎间孔外型6例;男10例,女7例,年龄27～69岁,平均41.3岁。于术前、术后1个月及末次随访时进行视觉模拟疼痛评分(VAS),末次随访时按改良Macnab标准评价临床疗效。结果:手术时间45～110min,平均68min。术后住院时间2～7d,平均4.6d。无手术并发症及转为开放手术者。随访2～13个月,平均6.7个月,术前VAS评分为7.85±1.13分,术后1个月及末次随访时分别为2.24±0.57分和1.16±0.31分,与术前比较均有显著性差异(P<0.01)。改良Macnab标准评价临床疗效优6例,良9例,可2例。结论:经皮内窥镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出症可获得良好的近期效果,且安全、微创。
Objective：To evaluate the feasibility and efficacy of treatment for far lateral lumbar disc herniation with percutaneous endoscopic lumbar discectomy.Method：From October 2006 to December 2007,17 pa- tients were treated with percutaneous endoscopic lumbar discectomy,which included 10 males and 7 females with average age of 41.3 years（range,from 27 to 69 years）.There were 11 cases of intraforaminal disc herniation,6 cases of extraforaminal disc herniation.Retrospective analysis of clinical results was performed.Result： The average operative time was 68 minutes（range,45-110min）,with a mean postoperative hospital stay of 4.6 days （range,2-7 days）.There were neither complications related to the surgery,nor any conversion to open surgery.17 cases were followed up 2-13 months（average 6.7 months ）.The Visual analog seale（VAS） scores of preoperation,1 month after operatiion and last follow-up were 7.85±1.13,2.24±0.57 and 1.16±0.31 repectively （P〈0.01）.The clinical outcomes were determined using a modified Macnab criteria,which revealed that 6 patients bad excellent resuh,9 bad good,2 bad fair.Conclusion：Percutaneous endoscopic lumbar discectomy could achieve satisfactory short-term clinical results in treating far lateral lumbar disc herniation and is a safe and efficacious minimally invasive surgical technique.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2008年第7期494-497,共4页
Chinese Journal of Spine and Spinal Cord
作者简介
王建,男（1965-），副教授，医学博士，硕士生导师，研究方向：脊柱外科,电话：（023）68774082,E-mail：tonywjxq@yahoo．com．cn
