对于高度向下迁移的磁盘的穿皮内镜间膜切除术的比较分析
Ran Li1, Dongming Fu1, Hao Han1
1Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Journal of orthopaedic surgery and research
|August 14, 2023
概括
皮肤内镜间膜切除术 (PEID) 有效地治疗高度向下迁移的磁盘,显示与后腰椎间体融合 (PLIF) 相似的长期结果. 这种最少的侵入性技术提供可靠的疗效和安全性,并导致最少的并发症.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 脊椎盘疾病 脊椎盘疾病
背景情况:
- 高度向下迁移的椎间盘带来了独特的外科手术挑战.
- 传统的外科选择可能涉及显著的侵入性和更长的恢复时间.
研究的目的:
- 评估皮内镜间膜切除术 (PEID) 对高度向下迁移的椎间板的临床疗效和安全性.
- 为了比较PEID结果与后腰间体融合 (PLIF).
主要方法:
- 对39名PEID治疗高度向下迁移的椎间盘的患者进行了回顾性研究 (2015年1月至2020年10月).
- 评估结果使用视觉模拟量表 (VAS),奥斯威斯特残疾指数 (ODI) 和MacNab标准进行评估.
- 与接受PLIF的37名患者进行比较.
主要成果:
- 与PLIF相比,PEID的运行时间显著缩短 (93分钟对169分钟).
- 在手术后,PEID和PLIF都显示了VAS和ODI分数的持续改善.
- 在97.43%的患者中,PEID获得了优秀到良好的结果,与PLIF的94.60%相比.
结论:
- PEID是一种安全有效的治疗方法,用于高度向下迁移的椎间盘.
- PEID的长期疗效与PLIF相当.
- PEID提供了一种具有低并发症率和高患者症状缓解的微创方法.
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