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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作者Author单位AddressE-Mail
文杰 wenjie 甘肃省中医药大学 Clinical Medical College of Gansu University of Traditional Chinese Medicine 13389408405@163.com 
张辉 zhanghui 甘肃省人民医院骨二科  
宋玉鑫 songyuxin 甘肃省人民医院骨二科  
张富强 zhangfuqiang 甘肃省人民医院骨二科  
王栋 wangdong 甘肃省中医药大学临床医学院  
王中华 wangzhonghua 甘肃省中医药大学临床医学院  
刘林* liulin 甘肃省人民医院 Department of Orthopaedics ,Gansu Provincial People'
'
s Hospital
18093298645@163.com 
期刊信息:《中国骨伤》年,第卷,第期,第-页
DOI:
基金项目:甘肃省人民医院院内科研基金项目(18GSSY4-16)
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月期间采用全内镜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岁,平均(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、MacNab评定标准评估临床疗效。 结果:所有患者均获得术后12个月以上的随访。手术时间55~130min(86±17.5min),术中出血量 10~50 ml (17±6ml),住院时间3~7 d,平均4.6 d;腰痛VAS评分术前(6.67±1.25)与术后第3天(3.87±1.35)、第3月(2.55± 1.21)、第12月(2.05±0.97)相比,差异均有统计学意义(P<0.05);腿痛VAS评分术前(7.85±2.62)与术后第3天(3.31±1.42)、第3月(2.02± 1.13)、第12月(1.85±0.86)相比,差异均有统计学意义(P<0.05);ODI评分术前(40.32±5.38)与术后第3天(25.76±4.81)、第3月(12.66±4.64)、第12月(9.32±2.91)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,差0例,优良率为89.47%。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  腰椎融合术  退行性腰椎管狭窄症
 
Full endoscopic I See in the treatment of single segment degenerative lumbar spinal stenosis
ABSTRACT  Objective To investigate the clinical efficacy and advantages of total endoscopic I See for single segmental DLSS. Methods The clinical data of 38 patients with single segment DLSS treated by full endoscopic I SEE technique from January 2017 to March 2018 were analyzed retrospectively. there were 16 males and 22 females, aged 35 to 79 years. The mean age was (53.45 ±12.56) years. There were 45 cases of L3~4 5cases, L4~5 23 cases, and L5S1 10 cases . The clinical efficacy was evaluated by VAS, ODI and MacNab. Results All patients were followed up for more than 12 months after operation. The operation time was 55~130min (86 ±17.5 min), the intraoperative blood loss was 10~50 ml (17 ±6 ml), and the hospitalization time was 3~7 days (mean 4.6 days). The VAS score of low back pain was (6.67 ±1.25) before operation and (3.87 ±1.35), (2.55 ±1.21) and (2.05 ±0.97) on the 3rd day, 3rd month and 12th month after operation. The difference was statistically significant (P < 0.05). The VAS score of leg pain before operation (7.85 ±2.62) was significantly different from that on the 3rd day (3.31 ±1.42), 3rd month (2.02 ±1.13) and 12th month (1.85 ±0.86) (P < 0.05). The ODI score was (40.32 ±5.38) before operation and (25.76 ±4.81), (12.66 ±4.64) and (9.32 ±2.91) on the 3rd day, 3rd month and 12th month after operation. The difference was statistically significant (P < 0.05). According to the MacNab evaluation standard of lumbar vertebrae function, 15 cases were excellent, 19 cases were good, 4 cases were fair and 0 cases were poor. the excellent and good rate was 89.47%. Conclusion Full endoscopic I See technique is effective in the treatment of single segmental DLSS with the advantages of less trauma, short hospital stay and rapid recovery.
KEY WORDS  Full endoscopy  lumbar fusion  degenerative lumbar spinal stenosis
 
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