微创椎间孔镜治疗退行性腰椎管狭窄早期临床效果

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Abstract Objective: To evaluate the early clinical efficacy of minimal invasive transforaminal endoscopic spine system for treatment of single segment degenerative lumbar spinal in elderly patients. Methods: From January 2013 to January 2014, eighty single segment degenerative lumbar spinal elderly patients were randomly divided into two groups according to the random number table (n=40). The research group was undergone percutaneous transforaminal endoscopic discectomy and spine canal enlarged as well as relaxing the nerve. The control group were treated by opening lamina resection decompression as well as spine canal enlarged, interbody fusion and internal fixation. The Mac Nab’s criteria, ODI score, visual analogue scale (VAS), Lehmann low-back rating scale, the Japanese Orthopaedic Association Scores (JOA), the hospital stay time, the intraoperatve blood loss, the surgical complications in the two groups were reviewed and compared between the preoperative and postoperative. Results: The research group was superior than the control group in the Mac Nab’s criteria, ODI score, VAS score, JOA score, the hospital stay time, the intraoperative blood loss, the surgical complications. Their differences were significant (P<0.05). Conclusion: The minimal invasive transforaminal endoscopic spine system for treatment of single segment degenerative lumbar spinal in elderly patients has the advantages of small trauma, earlier rehabilitation and good effects.

Key words： transforaminal endoscopic spine system degenerative lumbar spinal stenosis minimally invasive therapy elderly

Received: 09 July 2016

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	eng Dun
	Yan Haibo
	Lin Xianfa
	Chen Liqiu
	Zhang Weikang
	Zhan Gonghao

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https://xb.wmu.edu.cn/EN/ OR https://xb.wmu.edu.cn/EN/Y2017/V47/I4/273

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