皮肤内镜间膜椎间盘切除术用于高度迁移的腰椎间盘:临床疗效和安全性评估
Haijun Ma1, Mingkui Shen1, Zhongxin Tang1
1Department of Mini‑Invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, Henan, China.
International orthopaedics
|July 5, 2024
概括
穿皮内镜间膜切除术 (PEID) 对高度迁移的腰椎间盘 (LDH) 是安全有效的,表现出类似于低度病例的结果. 这种最少的侵入性技术为LDH患者提供了减少创伤和更快的恢复.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
- 整形外科手术 整形外科手术
背景情况:
- 高度迁移的腰椎间盘 (LDH) 呈现出独特的外科手术挑战.
- 穿皮内镜间膜切除术 (PEID) 是一种管理LDH的新兴技术.
研究的目的:
- 评估PEID对高等级迁移的LDH的临床有效性和安全性.
- 用PEID治疗的高等级和低等级迁移的LDH之间的结果进行比较.
主要方法:
- 对328名因迁移的LDH而接受PEID的患者进行了回顾性研究.
- 根据MRI,患者被分为高等级和低等级的迁移组.
- 包括VAS,ODI和MacNab标准在内的临床结果在手术前和后被评估.
主要成果:
- 两组之间手术参数 (时间,失血,切口长度) 没有显著差异.
- 两组患者在手术后的VAS和ODI显著改善.
- 总体而言,优秀-良好的结果率为94.7%,在各组之间没有显著差异.
结论:
- PEID证明了对高等级迁移的LDH的令人满意的临床安全性和有效性.
- PEID提供了最小创伤,小切口和快速恢复的优势.
- 该技术是管理复杂的腰椎间盘的可行选择.
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