徐峰;伍搏宇;

• 1:解放军中部战区总医院骨科/湖北省骨创伤救治医学临床研究中心
• 2:湖北中医药大学研究生院

摘要(Abstract)：

[目的]探讨经皮椎间孔镜TESSYS-ISEE技术治疗老年腰椎侧隐窝狭窄症的安全性及有效性。[方法]回顾性分析了本院2017年1月～2018年5月采用经皮椎间孔镜TESSYS-ISEE技术治疗并获得随访的29例老年腰椎侧隐窝狭窄症患者的临床资料,采用VAS评分和ODI评分评价临床疗效。末次随访时,采用改良MacNab标准评定优良率。[结果]所有患者均顺利完成手术,1例术中发生硬膜撕裂,无神经血管损伤、椎间隙感染、症状性髓核残留等并发症发生。手术时间55～95 min,平均(72.29±11.52) min;术后住院时间2～6 d,平均(3.75±1.04) d;29例患者获得13～25个月随访,平均(18.76±3.92)个月。随访期间,1例患者腰椎间盘突出复发。术后各时间点腰痛VAS评分、腿痛VAS评分及ODI评分均较术前改善(P<0.05)。末次随访时,根据改良MacNab评分标准评定优良率为89.66%。[结论]经皮椎间孔镜TESSYS-ISEE技术能安全、有效地治疗老年腰椎侧隐窝狭窄症,可在临床推广应用。

关键词(KeyWords)： 脊柱内镜;TESSYS-ISEE技术;腰椎侧隐窝狭窄症;老年人

Abstract:

Keywords:

基金项目(Foundation): 湖北省卫生和计划生育委员会科研项目(编号：WJ2017H0033);; 全军医学科技青年培育计划项目(编号：18QNP054)

作者(Author): 徐峰;伍搏宇;

Email:

DOI:

参考文献(References)：

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