皮肤透视内透腰椎间体融合 (PETLIF):当前的技术,临床结果和叙述审查
Koichiro Ono1, Daisuke Fukuhara1,2, Ken Nagahama3
1Department of Orthopedic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
Journal of clinical medicine
|August 26, 2023
概括
穿皮内镜腰部体融合 (PETLIF) 为退行性腰部疾病提供了一种微创的方法,显著改善疼痛评分. 建议对这种有效的手术技术仔细考虑潜在的并发症.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 最少侵入性的脊柱手术
背景情况:
- 退行性腰部病理越来越多地使用全内镜技术来治疗.
- 穿皮内镜腰椎体间融合 (PETLIF) 是对脊髓缩和脊柱狭窄不稳定的最小侵入性选择.
研究的目的:
- 在24名患者中评估PETLIF的临床结果和并发症.
- 将PETLIF的结果与现有文献进行比较.
主要方法:
- 在PubMed和Web of Science上进行了文献搜索.
- 在PETLIF技术涉及骨收获,减少,内镜胺塑造,盘高度扩张,子插入和后部固定.
- 收集的数据包括手术时间,血液损失,住院时间和临床结果.
主要成果:
- 平均手术时间为130.8分钟,流血量为24.0毫升;平均住院时间为9.5天.
- 在视觉模拟尺度 (VAS) 疼痛评分,圆盘高度,脊柱管道面积和百分比滑动方面,注意到了显著的改善.
- 并发症包括末端板损伤,沉降和退出的神经根损伤.
结论:
- PETLIF是一种实用的,对腰部退行性疾病的最小侵入性技术,有效减少背部和腿部疼痛.
- 该程序在疼痛得分上显示出显著的改善,尽管潜在的并发症需要仔细管理.
- 建议进一步完善PETLIF手术技术,以提高安全性和疗效.
相关概念视频
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