Page 36 - 北京京煤集团总医院第十届·2022学术年会论文集

北京京煤集团总医院 第十届·2022 学术年会论文集

全可视化内镜技术治疗腰椎椎间孔狭窄症的疗效分析

宋正鑫，卫力晋，刘岩，吴立君，毛英夫，杨传忠

北京京煤集团总医院 骨科 北京 102300

【摘要】目的：分析全可视化内镜技术治疗腰椎椎间孔狭窄症的临床疗效。 方法：回顾性
分析我院 2018 年 1 月至 2020 年 1 月收治的 43 例接受全可视化内镜下手术治疗的腰椎椎间

孔狭窄症患者的临床资料，男性 15 例，女性 28 例，年龄 39～79 岁，平均(59.9±8.93）岁；

手术节段：L3～4 2 例，L4～5 19 例，L5S1 22 例；记录手术时间、术中射线暴露次数、围手术

期并发症；采用疼痛视觉模拟评分法（Visual analogue scale，VAS）评估患者腰痛和下肢疼

痛程度，Oswestry 功能障碍指数（Oswestry disability index，ODI）评估腰椎功能状况；末次

随访时采用改良 Macnab 评分标准评价临床疗效。 结果：所有患者均顺利完成手术，手术

时间 45～125min，平均（71.9±15.43）min；术中透视次数 3～9 次，平均（5.4±1.46）次；

术后平均随访 12～26 个月，平均（15.9±3.3）个月；腰腿痛 VAS 评分及 ODI 评分与术前比

较，差异均具有统计学意义（P＜0.05）；末次随访时，根据改良 Macnab 评定标准，优 17

例，良 19 例，可 5 例，差 2 例，优良率达 83.7%，改善率达 95.3%。 结论：全可视化内镜

技术治疗腰椎椎间孔狭窄症，操作安全、高效，术中射线暴露少，局部麻醉，术后恢复快，

临床疗效满意。

【关键词】腰椎椎间孔狭窄症；脊柱内镜；全可视化；疗效分析
Therapeutic effect of full visual endoscopy in the treatment of lumbar foraminal stenosis

Abstract: Objective To analyze the clinical effect of full visual endoscopy in the treatment of

lumbar foraminal stenosis. Methods A retrospective analysis was performed on the clinical data

of 43 patients with lumbar foraminal stenosis who received full visual endoscopic surgery in our

hospital from January 2018 to January 2020, including 15 males and 28 females, aged from 39 to

79 years old, with an average of (59.9±8.93) years old. The operative levels were L3-4 2, L4-5 19

and L5S1 22. Operation time, number of intraoperative radiation exposure and perioperative

complications were recorded. Visual analogue Scale (VAS) and Oswestry Disability Index (ODI)

were used to assess lumbar and lower limb pain. The modified Macnab score was used to evaluate

the clinical efficacy at the last follow-up. Results All patients completed the operation

successfully. The operation time was 45-125min, with an average of (71.9±15.43) min.

Intraoperative fluoroscopy was performed 3 ~ 9 times, averaging (5.4±1.46) times. The mean

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