对于相邻细分体疾病的皮肤透视性内镜断层切除与老年患者的腰椎椎间板的对比
Shuo Yuan1, Xuanyu Lu1, Lei Zang1
1Department of Orthopedics, Beijing Chaoyang Hospital, Capital Medical University, Beijing, 100043, People's Republic of China.
Journal of pain research
|July 1, 2024
概括
穿皮转膜内切除术 (PTED) 对患有相邻段病 (ASD) 或腰椎间盘 (LDH) 的老年患者有效. 结果相似,尽管ASD病例需要更长的住院时间和手术时间.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 最少侵入性手术是最少侵入性的手术.
- 老年人骨科是老年人的骨科.
背景情况:
- 腰椎间盘 (LDH) 通常是通过皮肤透视膜内切除术 (PTED) 治疗的.
- 对于患有相邻细分病 (ASD) 的老年患者,PTED结果的数据有限.
- PTED为脊椎疾病提供了一种最小的侵入性方法.
研究的目的:
- 为了比较PTED在ASD老年患者与LDH的临床结果.
- 评估PTED在ASD患者的修复手术中的有效性和安全性.
- 评估两种情况的PTED后的患者满意度和功能恢复.
主要方法:
- 对39名接受PTED的ASD和39名LDH患者进行了回顾性研究.
- 使用视觉模拟尺度 (VAS) 评估疼痛和奥斯威斯特残疾指数 (ODI) 的临床结果.
- 随访包括手术前,手术后,12,24个月和最终评估; 满意度的MacNab标准.
主要成果:
- 在87.15%的ASD患者和89.74%的LDH患者中取得了优异或良好的结果.
- 在PTED后立即观察到疼痛和功能显著改善,结果持续.
- 与LDH患者相比,ASD患者的住院时间 (p=0.02) 和手术时间 (p<0.01) 较长.
结论:
- PTED是一种有效的微创治疗,用于老年患有自闭症的患者,包括复查病例.
- 在ASD患者中,PTED的临床结果与LDH的临床结果相似.
- 需要进一步的研究,才能充分了解PTED对ASD的长期预后.
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