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后路椎间盘镜下多节段有限减压治疗腰椎管狭窄症18例疗效分析
引用本文:杨德顺,黄明,王开明,廖亮.后路椎间盘镜下多节段有限减压治疗腰椎管狭窄症18例疗效分析[J].蚌埠医学院学报,2011,36(4):354-355,358.
作者姓名:杨德顺  黄明  王开明  廖亮
作者单位:安徽省蚌埠市第三人民医院,骨科,233000;安徽省蚌埠市第三人民医院,骨科,233000;安徽省蚌埠市第三人民医院,骨科,233000;安徽省蚌埠市第三人民医院,骨科,233000
基金项目:安徽省蚌埠市科技局基金资助项目
摘    要:目的:观察后路椎间盘镜下多节段有限减压治疗腰椎管狭窄症的临床疗效。方法:后路椎间盘镜下多节段有限减压治疗18例腰椎管狭窄症,比较治疗前后Oswestry功能障碍指数(ODI)和视觉模拟评分(VAS)变化,观察手术疗效。结果:治疗后ODI和VAS评分明显低于治疗前(P〈0.01)。随访8~39个月,按Nakai评价标准评定为优11例,良3例,可3例,差1例,优良率为77.78%。结论:椎间盘镜下多节段有限减压治疗腰椎管狭窄症创伤小,出血少,术后疗效满意。

关 键 词:腰椎管狭窄症  椎间盘镜  减压  疗效

Multi-level limited decompression by microendoscopic disectomy through posterior approach for treatment of lumbar spinal stenosis:a report of 18 cases
YANG De-shun,HANG Ming,WANG Kai-ming,LIAO Liang.Multi-level limited decompression by microendoscopic disectomy through posterior approach for treatment of lumbar spinal stenosis:a report of 18 cases[J].Journal of Bengbu Medical College,2011,36(4):354-355,358.
Authors:YANG De-shun  HANG Ming  WANG Kai-ming  LIAO Liang
Affiliation:(Department of Orthopedics,Bengbu Third People′s Hospital,Bengbu Anhui 233000,China)
Abstract:Objective:To observe the clinical effect of multi-level limited decompression with microendoscopic disectomy through posterior approach on lumbar spinal stenosis.Methods:Eighteen patients with lumbar spinal stenosis were managed by multi-level limited decompression with microendoscopic disectomy.The preoperative Oswestry disability index(ODI) and visual analogue scale(VAS) were compared with the postoperative scores,and the clinical effects were reviewed and analyzed.Results:There was significant difference...
Keywords:lumbar spinal stenosis  microendoscopy  decompression  curative effect  
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