摘要
目的 探讨经皮椎间孔镜“二次成型”技术治疗高龄患者腰5骶1节段腰椎管狭窄症的临床疗效。方法 回顾性分析2019年1月至2020年1月本院骨科收治的复合纳入标准的病人，术前和术后比较视觉模拟评分（VAS）和Oswestry残疾指数（ODI），以及以及改良的Macnab标准评估治疗效果。结果 患者均顺利完成手术。末次随访时症状均得到明显改善（P <0.05）。结论 椎间孔镜下二次成型技术治疗腰5骶1节段高龄患者腰椎管狭窄症具有良好的短期效果。
关键词： 腰椎管狭窄症；经皮椎间孔镜；椎间孔成型
Abstract
Objective To explore the clinical efficacy of percutaneous transforaminal endoscopic " secondary molding & quot; technique in the treatment of lumbar spinal stenosis at the 5th sacral 1st segment in elderly patients. Methods A retrospective analysis of patients with composite inclusion criteria admitted to the Department of Orthopedics in our hospital from January 2019 to January 2020, compared the visual analogue scale (VAS) and Oswestry Disability Index (ODI) before and after surgery, and the modified Macnab standard assessment treatment effect. Results All patients completed the operation successfully. Symptoms were significantly improved at the last follow-up (P<0.05). Conclusion Intervertebral foramina secondary molding technique has a good short-term effect in the treatment of lumbar spinal stenosis in elderly patients with lumbar 5 sacral 1 stage.
Key words： Lumbar spinal stenosis; Percutaneous transforaminal endoscope; Intervertebral foramen molding
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