| 谭洪栋,许良*.简易穿刺定位法在经椎间孔入路经皮内窥镜下腰椎椎间盘切除术中的临床应用[J].脊柱外科杂志,2021,19(5):308-312. |
简易穿刺定位法在经椎间孔入路经皮内窥镜下腰椎椎间盘切除术中的临床应用  点此下载全文 (Fulltext) |
| 谭洪栋 许良* |
山东省公共卫生临床中心(山东省胸科医院)
骨科, 济南 250101 |
| 基金项目： |
| DOI：10.3969/j.issn.1672-2957.2021.05.004 |
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| 摘要： |
| 目的 观察简易穿刺定位法在经椎间孔入路经皮内窥镜下腰椎椎间盘切除术（PETD）中的临床应用效果。方法 回顾性分析2018年1月-2019年12月本院采用PETD治疗的230例单节段腰椎椎间盘突出症患者临床资料，其中104例采用传统方法穿刺定位（对照组），126例采用简易方法穿刺定位（观察组）。记录2组术中透视次数、穿刺时间、穿刺相关并发症发生情况。比较术前和末次随访时Oswestry功能障碍指数（ODI）和疼痛视觉模拟量表（VAS）评分，评价手术效果。结果 对照组104例患者中，96例（92.3%）一次穿刺成功，8例（7.7%）行二次穿刺；观察组126例患者中，122例（96.8%）一次穿刺成功，4例（3.2%）行二次穿刺，2组一次穿刺成功率差异无统计学意义（P>0.05）。观察组术中透视次数少于对照组，穿刺时间短于对照组，差异均有统计学意义（P<0.05）。2组均未发生穿刺相关并发症。末次随访时，2组ODI和VAS评分均较术前明显改善，差异有统计学意义（P<0.05）；组间差异均无统计学意义（P>0.05）。结论 采用简易穿刺定位法行PETD既可保证手术效果，又能减少术中透视次数、缩短穿刺时间。 |
| 关键词：腰椎 椎间盘移位 内窥镜检查 椎间盘切除术,经皮 外科手术,微创性 |
| Clinical application of simple puncture positioning method in percutaneous endoscopic transforaminal discectomy Fulltext |
| Tan Hongdong Xu Liang* |
Department of Orthopaedics, Shandong Public Health Clinical Center(Shandong Provincial Chest Hospital)
, Jinan 250101, Shandong, China |
| Fund Project: |
| Abstract: |
| Objective To observe the clinical effect of simple puncture positioning method in percutaneous endoscopic transforaminal discectomy(PETD). Methods The data of 230 patients with single-segment lumbar disc herniation treated by PETD from January 2018 to December 2019 were retrospectively analyzed. Among them,104 cases were punctured and located with traditional method(control group),and 126 with simple method(observation group). The times of fluoroscopy,the puncture time and the puncture-associated complications were observed. Oswestry disability index(ODI) and visual analogue scale(VAS) scores were compared between pre-operation and the final follow-up to evaluate the effect of operation. Results Among 104 patients in the control group,96(92.3%) were successfully punctured once and 8(7.7%) need twice;of the 126 patients in observation group,122(96.8%) were successfully punctured once and 4(3.2%) need twice. There was no significant difference in one-time puncture success rate between the 2 groups(P>0.05). The times of fluoroscopy in the observation group was less than that in the control group,and the puncture time was shorter than that in the control group,all with a statistical significance(P<0.05). At the final follow-up,ODI and VAS scores were significantly improved in both groups,all with a statistical significance(P<0.05);there was no significant difference between the 2 groups(P>0.05). Conclusion Using the simple puncture positioning method in PETD can not only ensure the surgical outcome,but also reduce the times of fluoroscopy and shorten the puncture time. |
| Keywords:Lumbar vertebrae Intervertebral disc displacemen Endoscopy Diskectomy,percutaneous Surgical procedures,minimally invasive |
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