穿皮内镜间膜片切除术与腰椎间盘的单侧双门内镜片切除术的学习曲线:一项比较研究
Jin Chen1,2, Lisi Zhang1, Zhihan Wang3
1Department of Orthopedic Surgery, West China Tianfu Hospital, Sichuan University, Chengdu, 610213, China.
这项研究比较了腰椎椎间盘的内镜脊柱手术学习曲线. 皮肤内镜间膜断层切除术 (PEID) 需要45例才能熟练,而单侧双门内镜断层切除术 (UBED) 需要31例,两者都显示出类似的有效性.
科学领域:
- 神经外科 神经外科
- 最少侵入性的脊柱手术
背景情况:
- 腰椎间盘 (LDH) 是腰部疼痛的常见原因之一.
- 内镜技术为LDH提供了最少的侵入性治疗选择.
研究的目的:
- 量化和比较皮肤透视内镜间膜断层切除术 (PEID) 和单侧双门内镜断层切除术 (UBED) 的学习曲线,用于LDH.
- 评估操作时间和临床结果作为学习曲线评估的指标.
主要方法:
- 对158名LDH患者进行内镜断层切除 (2022-2024) 的回顾性审查.
- 患者分为PEID (n=93) 和UBED (n=65) 组.
- 用于确定学习曲线切线点的累积和 (CUSUM) 分析.
主要成果:
- 在PEID的45个案例和UBED的31个案例中确定了学习曲线的截止点.
- 掌握阶段与两种技术的运行时间显著减少有关 (约. 17-18分钟的减少).
- 初始和掌握阶段之间手术失败率没有显著差异;这两种技术都显示出显著的术后临床改善 (VAS,ODI,JOA得分).
结论:
- PEID和UBED都是LDH的有效治疗方法,结果相似,并发症率低.
- 程序熟练程度需要大约45个PEID病例和31个UBED病例.
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