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外科研究与新技术（中英文）

外科研究与新技术 ›› 2023, Vol. 12 ›› Issue (2): 86-88.doi: 10.3969/j.issn.2095-378X.2023.02.002

• 论著 • 上一篇    下一篇

经椎板间入路脊柱内镜下腰椎微创手术的临床应用

钟镕伟, 陈嘉裕, 刘展亮   

  1. 梅州市人民医院脊柱外科, 广东 梅州 514034
  • 收稿日期:2023-01-06 发布日期:2023-09-08
  • 通讯作者: 陈嘉裕,电子信箱：409455912@qq.com
  • 作者简介:钟镕伟（1989—）男,大学本科,主治医师,从事脊柱外科工作;电子信箱：zhongweifj81@163.com
  • 基金资助:
    梅州市医药卫生科研课题项目（2020-B-24）

Clinical application of minimally invasive lumbar surgery under spinal endoscope via interlaminar approach

ZHONG Rongwei, CHEN Jiayu, LIU Zhanliang   

  1. Department of Spinal Surgery, Meizhou People’s Hospital, Meizhou 514034, Guangdong, China
  • Received:2023-01-06 Published:2023-09-08

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摘要： 目的 探讨经椎板间入路脊柱内镜下腰椎微创手术的临床应用效果。方法 选取从2020年5月—2021年5月梅州市人民医院脊柱外科收治的180例腰椎间盘突出症患者作为观察对象展开分组研究,按随机数字表法将其分为A组、B组、C组。A组60例接受传统经腰椎后路开放手术;B组60例接受经椎间孔入路脊柱内镜下腰椎微创手术;C组60例接受经椎板间入路脊柱内镜下腰椎微创手术。比较三组之间手术时间、手术疗效。结果 C组手术治疗总有效率高于A组和B组（P<0.05）;B组手术治疗总有效率高于A组（P<0.05）。C组手术时间短于A组、B组（P<0.05）;B组手术时间短于A组（P<0.05）。结论 采用经椎板间入路脊柱内镜下腰微创手术治疗腰椎间盘突出比实施传统经腰椎后路开放手术、经椎间孔入路脊柱内镜下腰椎微创手术的手术时间更短,临床治疗效果更高。

关键词: 经椎板间入路, 经腰椎后路开放手术, 经椎间孔入路, 脊柱内镜下腰椎微创手术, 腰椎间盘突出

Abstract: Objective To investigate the clinical effect of minimally invasive surgery of lumbar spine under endoscope through interlaminar approach. Methods A total of 180 patients with lumbar disc herniation admitted to the Department of Spinal Surgery of Meizhou People’s Hospital from May 2020 to May 2021 were selected as study subjects. According to the random number table method, they were divided into group A, group B, and group C. Group A （n=60） underwent traditional posterior lumbar open surgery. Group B （n=60） underwent transforaminal endoscopic minimally invasive lumbar surgery. Group C （n=60） underwent endoscopic minimally invasive lumbar surgery through interlaminar approach. The operation time and efficacy were compared among the three groups. Results The total effective rate of surgical treatment in group C was higher than that in group A and group B （P<0.05）. The total effective rate of surgical treatment in group B was higher than that in group A （P<0.05）. The operation time of group C was shorter than that of group A and group B （P<0.05）. The operation time of group B was shorter than that of group A （P<0.05）. Conclusion In the treatment of lumbar disc herniation by lumbar endoscopic minimally invasive surgery through interlaminar approach, the operation time is shorter and the clinical therapeutic effect is better than that by traditional lumbar posterior open surgery and lumbar endoscopic minimally invasive surgery through foraminal approach.

Key words: Interlaminar approach, Posterior lumbar open surgery, Transforaminal approach, Minimally invasive surgery of lumbar spine under spinal endoscope, Lumbar disc herniation

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