武警官兵腰椎间盘突出症的CT定位内镜手术
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武警山东省总队医院

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CT guided endoscopic discectomy for lumbar intervertebral disc herniation of armed police officers and soldiers
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Shandong Armed Police Corps Hospital

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    摘要:

    [目的] 总结武警官兵腰椎间盘突出症的特点,探讨CT定位内镜椎间盘切除术(CT guided endoscopic discectomy, CTED) 相关问题。[方法] 回顾性分析2010年6月—2020年12月采用CTED治疗的武警官兵92例。记录围手术期资料;采用VAS、ODI、JOA评分和Macnab标准评价临床结果。CT检查测量对比手术前后椎间隙高度、腰椎前凸角及突出物。[结果] 92例患者均顺利完成手术,术后肢体遗留麻木4例,复发2例。随访6~130个月,平均(52.3±38.3)个月。随时间推移VAS和ODI评分显著减少(P<0.05),而JOA评分显著增加(P<0.05)。末次随访时依据Macnab标准评价临床结果为:优91例,良 1例,可0例,差0例,优良率100%。影像方面,术后椎间隙高度有所降低、腰椎前凸角显著增大、突出物显著减少(P<0.05)。[结论] CTED治疗武警官兵腰椎间盘突出症具有微创、精准、安全、恢复快、疗效好等优势。

    Abstract:

    [Objective] To summarize and analyze the character of lumbar intervertebral disc herniation of armed police officers and soldiers, and to explore the relevant problem of CT guided endoscopic discectomy(CTED). [Methods] A retrospective study was conducted on 92 armed police officers and soldiers who underwent CTED from June 2010 to December 2020. The perioperative data were recorded, and the clinical outcomes were assessed by using VAS,ODI,JOA scores and Macnab criteria. In addition, the disc height,lumbar lordosis angle and protuberance before and after operation were compared. [Results] All the 92 patients had revision CTED completed successfully, in terms of complications, there were 4 cases of residual numbness of the limbs, 2 cases of recurrence after operation. The follow-up period lasted for 6~130 months with an average of (52.3±38.3) months. The VAS and ODI scores decreased significantly(P<0.05), while JOA scores increased significantly over time (P<0.05). According to the Macnab criteria, the clinical results were graded as excellent in 91 patients, good in 1, fair and poor in 0 cases at the latest follow-up, with the excellent and good rate of 100%. In terms of imaging evaluation, the disc height reduced,the lumbar lordosis angle increased significantly and the protuberance decreased significantly after operation (P<0.05). [Conclusion] CTED has the advantages of minimally invasive,accurate,safe,fast recovery and good efficacy for treating lumbar intervertebral disc herniation of armed police officers and soldiers.

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  • 收稿日期:2022-11-10
  • 最后修改日期:2023-02-08
  • 录用日期:2023-08-02
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