Fully Endoscopic Interlaminar and Transforaminal Lumbar Discectomy: Short-Term Clinical Results of 163 Surgically Treated Patients
Fully Endoscopic Interlaminar and Transforaminal Lumbar Discectomy: Short-Term Clinical Results of 163 Surgically Treated Patients
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DOI：
10.1016/j.wneu.2014.05.032
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发表时间：
2014-11-01
影响因子：
2
通讯作者：
Canbolat, Ali Tuncay
中科院分区：
文献类型：
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作者：
Sencer, Altay;Yorukoglu, Ali Guven;Canbolat, Ali Tuncay
目的：评估在单一诊所接受全内窥镜手术的腰椎间盘病患者的临床结果。方法：2009年8月至2012年1月，163例患者（74名男性和89名女性）接受了全内镜下腰椎间盘切除术。所有患者术后随访1年。使用Oswestry残疾指数和视觉模拟量表分析结果。结果：随访期间，114例（70%）患者无主诉，30例（18%）患者偶有疼痛，19例（12%）患者无好转。术后随访中，8例患者因复发或碎片残留需要重复手术。术后4例患者出现感觉不良，均及时完全缓解。5例出现神经功能恶化，其中4例完全康复。6例发生硬脑膜撕裂。结论：全内窥镜椎间或经椎间孔手术是治疗腰椎间盘突出症安全有效的方法。尽管获得这项新技术有困难，但只要有足够的经验，就能取得良好的效果。
OBJECTIVE: To evaluate the clinical outcomes of patients with lumbar disc disease undergoing fully endoscopic surgery at a single clinic.METHODS: Between August 2009 and January 2012, 163 patients (74 men and 89 women) underwent fully endoscopic lumbar discectomy. All patients were followed for 1 year after surgery. The Oswestry Disability Index and a visual analog scale were used to analyze outcomes.RESULTS: During the follow-up period, 114 (70%) patients had no complaints, 30 (18%) patients had occasional pain, and 19 (12%) patients had no improvement. During postoperative follow-up, 8 patients required repeat surgery for recurrence or residual fragments. Postoperatively, 4 patients experienced dysesthesia, which completely resolved in time. Neurologic deterioration occurred in 5 patients, 4 of whom recovered completely without any intervention. Dural tears occurred in 6 patients.ONCLUSIONS: Fully endoscopic interlaminar or transforaminal surgeries are safe and effective treatment modalities for lumbar disc herniations. Despite the difficulties of acquiring this new technique, good results can be achieved with sufficient experience.