[1]邓斌,吴继彬,孙玛骥,等. 椎间孔镜可视下动力磨钻系统在椎间孔成形术中的作用[J].徐州医科大学学报,2017,37(12):846-848.
　DENG Bin,WU Jibin,SUN Maji,et al. Application of power drill equipment in the visualized foraminoplasty of transforaminal endoscopic spinal surgery[J].Journal of Xuzhou Medical University,2017,37(12):846-848.
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 椎间孔镜可视下动力磨钻系统在椎间孔成形术中的作用()
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《徐州医科大学学报》[ISSN:2096-3882/CN:32-1875/R]

卷:
37
期数:
2017年12期
页码:
846-848
栏目:
出版日期:
2017-12-25

文章信息/Info

Title:
 Application of power drill equipment in the visualized foraminoplasty
of transforaminal endoscopic spinal surgery
作者:
 邓斌; 吴继彬; 孙玛骥; 张驰; 袁峰*
 徐州医科大学附属医院骨科，江苏徐州221002
Author(s):
 DENG Bin;  WU Jibin;  SUN Maji;  ZHANG Chi;  YUAN Feng*
Department of Spinal Surgery, the Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu 221002, China
关键词:
 ; 椎间孔镜; 动力磨钻; 椎间孔成形术
Keywords:
transforaminal endoscopy; power drill;  foraminoplasty
分类号:
R681.5
文献标志码:
A
摘要:
 目的评价动力磨钻系统在椎间孔镜可视下行椎间孔成形术中的作用。方法收集2016年1—12月收治的32例腰椎间盘突出症患者资料，椎间孔镜下使用动力磨钻系统行可视下椎间孔成形术及髓核摘除术治疗。比较患者术前术后疼痛视觉模拟评分(visual analogue scale,VAS)、Oswestry 功能障碍指数 (Oswestry disability index,ODI)和腰椎日本骨科学会评分(Japanese Orthopaedic Association,JOA)的差异，并进行统计学分析。 结果所有患者均获得随访，随访时间为3个月。全部患者手术时间为60～120 min，平均95.3 min。住院天数为5～13天，平均8.3天。患者术中透视次数为10～18次，平均13.5次。患者术前VAS评分较高，在术后3天、2周和3个月时VAS评分降低，与术前相比差异有统计学意义（P＜0.05）。患者术前腰椎功能（ODI和JOA）评分较差，在术后3天得到改善，并在术后3个月得到维持,与术前相比差异有统计学意义（P＜0．05）。结论应用动力磨钻系统在椎间孔镜可视下行椎间孔成形术，较传统磨钻减少了术中透视次数，避免过多切除上关节突，降低了损伤神经的风险，效果满意。
Abstract:
 ObjectiveTo evaluate the safety and efficacy of power drill equipment in the visualized foraminoplasty of transforaminal endoscopic spinal surgery. MethodsData were collected from 32 lumber disc herniationpatients who were admitted from January to December 2016 to undergo visualized foraminoplasty and discectomy using power drill equipment. The outcomes were evaluated by the visual analog scale (VAS), the Oswestry disability index (ODI) and the Japanese Orthopaedic Association (JOA). ResultsAll patients were followed-up for three months. The average operation time was 95.3 min (60-120 min). The average hospitalization staywas 8.3 days (5-13 days). The average time of intraoperative fluoroscopy was 13.5 (10-18). The average VAS was remarkably decreased three days, two weeks and three months after surgery, compared with pre-operative levels (P＜0.05). The average ODI and JOA were markedly improved three days after surgery and sustained three months after surgery, compared with pre-operative levels (P＜0.05). ConclusionThe use of power drill equipment in visualized foraminoplasty of transforaminal endoscopic spinal surgery can reduce the risk of neural injury and is safe and effective alternative to treat lumbar disc herniation.

参考文献/References:

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［2］金晓峰,白一冰,隰建成,等.椎间孔镜技术治疗脱出游离型腰椎间盘突出症疗效分析 ［J］.中国疼痛医学杂志,2014,20(6):441-442.
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备注/Memo

备注/Memo:
通信作者,E-mail:cnyuanfeng@hotmail.com
更新日期/Last Update: 2018-01-24