皮肤内镜间膜断层切除术的临床结果,使用拉米诺托米技术与修改后的逐步局部麻醉
Kai Sun1, Hongyi Wang1, Ran Zeng2
1Department of Orthopaedics, Fuyang Hospital of Anhui Medical University, Fuyang, Anhui province, China.
World neurosurgery
|July 29, 2023
概括
通过皮肤内镜间膜切除术 (PEID) 使用局部麻醉的层切除术技术为腰椎间盘 (LDH) 提供了一种安全有效的微创治疗方法. 这种方法显著改善了患者的治疗结果,减少了疼痛,证明了其临床价值.
科学领域:
- 最少侵入性的脊柱手术
- 神经外科 神经外科
- 整形外科手术 整形外科手术
背景情况:
- 穿皮内镜间膜切除术 (PEID) 是用于腰椎间盘 (LDH) 的微创技术.
- 挑战包括狭窄的介层窗口和患者的不适,需要更安全,更有效的方法.
研究的目的:
- 为了评估PEID的安全性和有效性,使用了经过修改的逐步局部麻醉的拉米内切术技术来治疗LDH.
主要方法:
- 71名LDH患者在局部麻醉下通过拉米诺托米接受PEID.
- 使用视觉模拟尺度 (VAS),奥斯威斯特残疾指数 (ODI) 和Macnab标准来评估临床结果.
- 随访时间至少为6个月.
主要成果:
- 所有手术在局部麻醉下都成功,没有转换为开放手术.
- 在手术后观察到VAS和ODI得分的显著降低 (P < 0.001).
- 根据Macnab标准,在所有71名患者中都取得了优秀或良好的结果.
结论:
- 使用拉米切除技术和逐步局部麻醉的PEID是L4-L5和L5-S1LDH的安全有效治疗方法.
- 这种方法为腰椎间盘的患者提供了显著的疼痛缓解和功能改善.
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