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胸腔椎间盘椎间盘切除术:一项回顾性研究和技术说明

Hao Chen¹, Zhen Zhang¹, Zhenyu Bian¹

¹Department of Orthopedic Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

World neurosurgery

|July 16, 2023

概括

变形膜内镜断层切除术为胸腔椎间盘 (TLDH) 提供了有利的结果. 这种最少的侵入性方法导致了显著的疼痛减轻和高的患者满意度.

科学领域:

神经外科神经外科
最少侵入性的脊柱手术
脊柱疾病脊柱疾病

背景情况:

胸腔椎间盘 (TLDH) 是一种罕见的疾病,通常与传统椎切除术后的不良结果有关.
越来越多地用于腰椎间盘椎间盘切割术 (TED),这促使人们对其对TLDH的有效性进行了研究.

研究的目的:

评估转膜内镜片切除术治疗胸腔椎间盘的临床有效性.
分享技术见解和手术经验,使用这种对TLDH的最小侵入性技术.

主要方法:

在2018年4月至2021年7月期间,对19名TLDH患者的临床数据进行了回顾性分析,这些患者接受了TED治疗.
评估手术参数,包括手术时间,血液损失和住院时间.
使用视觉模拟尺度 (VAS) 对疼痛和日本骨科协会 (JOA) 评分对患者结果的评估.

主要成果:

在手术后的JOA和VAS得分均有显著改善 (P <0.05).
获得了高水平的令人满意的改善,有89.5%的患者根据JOA分数显示出优秀或良好的结果.
这项手术显示了有关手术时间,血液损失和术后住院时间的有利指标.

结论:

变形膜内切除术与良好的手术结果和患者康复有关.
该研究得出结论,TED是治疗胸椎间盘的理想和有效的外科选择.

关键词:

下胸椎间盘的发生胸腔椎间盘的发生胸腔关节的结合变形膜内镜断层切除术.上腰椎间盘椎间盘的发生

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