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使用ACS-NSQIP数据库2017-2022年对内镜和非内镜腰部减压结果的比较

Adam J Ward¹, Samuel Ezeonu¹, Tina Raman¹

¹Division of Spine Surgery, Department of Orthopaedic Surgery, NYU Grossman School of Medicine, NYU Langone Health, New York, NY, USA.

Journal of spine surgery (Hong Kong)

|July 7, 2025

概括

与传统的开放式或微创手术相比,内镜腰部减压显示出较少的不良事件和较低的输血率. 这种微创手术方法在脊柱外科手术中改善了患者的治疗结果.

科学领域:

神经外科神经外科
最少侵入性的手术
脊柱外科手术脊柱外科手术

背景情况:

内镜去压缩拉美切除术正在成为传统脊柱手术的替代方案.
这种技术有可能提供更小的切口和减少并发症风险.
与开放式或最小侵入式 (MIS) 膜切除术的比较至关重要.

研究的目的:

为了比较患者特征和内镜和开放/MIS膜切除术之间的不良结果.
评估内镜腰部减压的安全性和有效性.
使用美国外科医生学院的国家外科质量改进计划 (ACS-NSQIP) 数据库.

主要方法:

对2017-2022年ACS-NSQIP数据的分析.
包括使用特定的现行程序术语 (CPT) 代码的单级腰部减压病例.
336个内镜病例与55111个非内镜病例的比较.

主要成果:

内镜患者经过倾向性得分调整后,经过手术后的总不良结果较少 (1.2%对4.8%,P=0.01).
在内镜组观察到的输血率明显较低 (P<0.05).
关键患者人口统计和并发症在各组之间是平衡的.

结论:

内镜腰部减压与显著较低的不良事件率有关.
该技术表明,与传统方法相比,对输血的需求减少了.
这些发现支持越来越多的证据支持内镜脊柱手术.

关键词:

内镜检查是指内镜检查.国家外科质量改善计划 (NSQIP)拉米切除术 (laminectomy) 是一种切除膜的方法.最少侵入性 (MIS) 的治疗方法结果就是结果.

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