Clinical Application of Large Channel Endoscopic Systems with Full Endoscopic Visualization Technique in Lumbar Central Spinal Stenosis: A Retrospective Cohort Study.
Clinical Application of Large Channel Endoscopic Systems with Full Endoscopic Visualization Technique in Lumbar Central Spinal Stenosis: A Retrospective Cohort Study.
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大通道内窥镜系统与全内窥镜可视化技术在腰椎中央椎管狭窄症中的临床应用：回顾性队列研究
DOI：
10.1007/s40122-022-00428-3
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发表时间：
2022-12
期刊：
影响因子：
4
通讯作者：
Zhou C
中科院分区：
文献类型：
--
作者：
Han S;Zeng X;Zhu K;Wu X;Shen Y;Han J;Lin A;Meng S;Zhang H;Li G;Liu X;Tao H;Ma X;Zhou C
最近，大通道内窥镜系统和全内窥镜可视化技术已被用于对腰椎中央椎管狭窄症（LCSS）进行单侧椎板切开双侧减压（ULBD）治疗。然而，不同的内窥镜系统具有不同的设计参数，这可能会影响技术要点和治疗效果。这项回顾性研究的目的是比较 iLESSYS Delta 系统与 Endo-Surgi Plus 系统下 ULBD 的效率、安全性和有效性。 2020年10月至2021年4月期间，使用iLESSYS Delta系统或Endo-Surgi Plus系统进行ULBD治疗LCSS。根据所使用的内窥镜系统将患者分为两组。对患者人口统计学、围手术期指标、并发症和影像学特征进行了回顾。在随访时间点使用背部和腿部视觉模拟量表（VAS）评分和 Oswestry 残疾指数（ODI）对临床结果进行量化。 32 名患者被分配到 iLESSYS Delta 系统组，37 名患者被分配到 Endo-Surgi Plus 系统组。两组比较中，Endo-Surgi Plus系统具有更短的切口长度和手术时间（p<0.005），其他方面没有观察到统计学差异。与术前相比，两组术后硬膜囊均显着扩大（p<0.001）。两组患者在所有时间点的 VAS 和 ODI 评分均有所改善 (p< 0.001)，并且并发症发生率同样较低。目前的研究表明，Endo-Surgi Plus 系统和 iLESSYS Delta 系统在治疗 LCSS 的 ULBD 中均取得了良好的高安全性和临床效果。使用完全可视化的环钻可能提高了 Endo-Surgi Plus 系统的效率。此外，Endo-Surgi Plus 系统可能与更广泛的减压范围和适应症相关联。
Recently, large channel endoscopic systems and full endoscopic visualization technique have been used to perform unilateral laminotomy for bilateral decompression (ULBD) treatment for lumbar central spinal stenosis (LCSS). However, various endoscopic systems possess different design parameters, which may affect the technical points and treatment outcomes. The object of this retrospective study was to compare the efficiency, safety, and effectiveness of ULBD under the iLESSYS Delta system versus the Endo-Surgi Plus system. In the period from October 2020 to April 2021, ULBD was performed using the iLESSYS Delta system or Endo-Surgi Plus system to treat LCSS. Patients were classified into two groups based on the endoscopy system employed. Patient demographics, perioperative indexes, complications, and imaging characteristics were reviewed. Clinical outcomes were quantified using back and leg visual analog scale (VAS) scores and Oswestry Disability Index (ODI) at the time points of follow-up. Thirty-two patients were assigned to the iLESSYS Delta system group and 37 to the Endo-Surgi Plus system group. In the comparison between the two groups, the Endo-Surgi Plus system possessed a shorter incision length and operation time (p < 0.005), and no statistical differences in other aspects were observed. The dural sacs of both groups were significantly expanded postoperatively compared to preoperatively (p < 0.001). Both groups experienced improvements in VAS and ODI scores at all time points (p < 0.001) and equally low frequency of complications. Current research suggests that both the Endo-Surgi Plus system and iLESSYS Delta system achieved favorable high safety and clinical outcomes in ULBD for treatment of LCSS. The use of a fully visualized trephine may have increased the efficiency of the Endo-Surgi Plus system. Moreover, the Endo-Surgi Plus system may be associated with a wider decompression range and indications.
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影响因子：
4.8
作者：
ARYANPUR, J;DUCKER, T
通讯作者：
DUCKER, T
影响因子：
--
作者：
Komp, Martin;Hahn, Patrick;Ruetten, Sebastian
通讯作者：
Ruetten, Sebastian
影响因子：
3
作者：
Kuo, Calvin C.;Merchant, Maqdooda;Bains, Ravinder S.
通讯作者：
Bains, Ravinder S.
影响因子：
19.7
作者：
Hallinan, James Thomas Patrick Decourcy;Zhu, Lei;Quek, Swee Tian
通讯作者：
Quek, Swee Tian
影响因子：
2.3
作者：
Basil, Gregory W.;Kumar, Vignessh;Wang, Michael Y.
通讯作者：
Wang, Michael Y.