后路椎问盘镜下多节段有限减压治疗.PDFVIP

354 JBengbuMedCoil，April2011，Vo1．36，No．4 [文章编号]1000-2200(2011)04-0354-03 · 临床 医学 · 后路椎问盘镜下多节段有限减压治疗 腰椎管狭窄症 18例疗效分析 杨德顺，黄 明，王开明。廖 亮 [摘要]目的：观察后路椎间盘镜下多节段有限减压治疗腰椎管狭窄症的临床疗效。方法：后路椎间盘镜下多节段有限减压治 疗 18例腰椎管狭窄症 ，比较治疗前后 Oswestry功能障碍指数(ODI)和视觉模拟评分(VAS)变化，观察手术疗效。结果：治疗后 ODI和VAS评分明显低于治疗前(P0．01)。随访 8—39个月，按Nakai评价标准评定为优 11例，良3例 ，可3例，差 1例 ，优 良率为77．78％。结论：椎问盘镜下多节段有限减压治疗腰椎管狭窄症创伤小，出血少，术后疗效满意。 [关键词]腰椎管狭窄症 ；椎间盘镜 ；减压；疗效 [中国图书资料分类法分类号]R681．5332 [文献标识码]A Multi-levellimiteddecompressionbymicroendoscopicdisectomythrough posteriorapproachfortreatmentoflumbarspinalstenosis：areportof18cases YANG De—shun，HANG Ming，WANG Kai—ming，LIAO Liang (DepartmentofOrthopedics，BengbuThirdPeoplesHospital，BengbuAnhui233000，China) [Abstract]Objective：Toobservetheclinicaleffectofmulti—levellimiteddecompressionwithmicroendoscopicdiseetomythrough posteriorapproachon lumbarspinalstenosis．Methods：Eighteen patientswith lumbarspinal stenosisweremanagedbymulti—level limiteddecompressionwithmicroendoscopicdisectomy．ThepreoperativeOswestrydisabilityindex(ODI)andvisualnaaloguescale (VAS)werecomparedwiththepostoperativescores，andtheclinicaleffectswerereviewedandanalyzed．Results：Therewassignificant differenceinpreoperativeODIandVAScompraedwiththepostoperativescores(P0．O1)．Thefollow—uplastedfrom8to39months． TheevaluationbyNakaistandradrevealedthattheoutcomewasexcellentin 11oases，goodin3cases，fairin3casesandpoorin1 case．Therateofgood resultswas77．78％ ．Conclusions：Multi—levellimiteddecompression bymicroendoscopic disectomythrough posteriorapproachhastheadvantagesoffewertraumas，lessblood lossnad betterclinicaloutcomein treatmentoflumbarspinal stenosis． [Keywords]lumbarspinalstenosis；microendoscopy；decompression；curativeeffect 腰椎管狭窄症多发生于中老年患者，非手术治