[对于腰椎间盘的不同类型的脊柱内镜手术的影响和并发症]
Kang Chen1, Fu-Guo Yang1, Yuan-Chao Luo1
1Department of Orthopaedics, the First People's Hospital of Zigong, Zigong 643000, Sichuan, China.
概括
皮肤内透镜变膜切除术 (PETD),皮肤内透镜膜间切除术 (PEID) 和单侧双门内透镜 (UBE) 手术都显示了腰椎间盘 (LDH) 的早期临床效果良好. 这些微创手术具有相似的并发症率,PETD和PEID提供更快的恢复.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 微创手术是最少的侵入性手术.
- 内镜技术是指内镜技术.
背景情况:
- 腰椎间盘 (LDH) 是一种常见的疾病,需要有效的治疗.
- 内镜脊柱手术为LDH提供了最少的侵入性选择.
- 对比不同的内镜技术对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较单段LDH的三个内镜技术的临床疗效和并发症率.
- 评估皮肤内透镜变膜切除术 (PETD),皮肤内透镜膜间切除术 (PEID) 和单侧双门内透镜 (UBE) 手术.
主要方法:
- 在2019年10月至2021年8月期间治疗的121名单段LDH患者的回顾性分析.
- 患者被分为PETD (48),PEID (43) 和UBE (30) 组.
- 使用视觉模拟尺度 (VAS) 评估疼痛的临床结果,使用奥斯韦斯特力功能障碍指数 (ODI) 评估功能,并修改了MacNab疗效标准.
主要成果:
- 所有的技术都在手术后显著改善了疼痛和功能.
- 在这三个组之间,没有观察到总体临床疗效 (修改后的MacNab) 或并发症率的显著差异.
- 与PETD和PEID相比,UBE手术的操作时间更长,血液损失更高.
- 比起PEID和UBE,PETD需要更多的手术内光学.
结论:
- PETD,PEID和UBE在治疗单段LDH时有效,结果可比.
- 在组织损伤和恢复速度方面,PETD和PEID具有优势.
- PEID特别适用于L5S1段.
- UBE提供了更广泛的暴露,使其有利于复杂的LDH病例.
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