中国组织工程研究

中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (26): 4186-4190.doi: 10.3969/j.issn.2095-4344.2015.26.017

• 脊柱植入物 spinal implant • 上一篇    下一篇

经皮椎间孔镜下TESSYS技术修复腰椎固定融合后邻近节段退行性变

李建江1，楚  戈2，杨  涛1，黄异飞1，吴彦生1，刘岩路1   

  1. 新疆维吾尔自治区中医医院，1脊柱二科，2脊柱一科，新疆维吾尔自治区乌鲁木齐市  830000
  • 收稿日期:2015-05-08 出版日期:2015-06-25 发布日期:2015-06-25
  • 通讯作者: 楚戈，新疆维吾尔自治区中医医院脊柱一科，新疆维吾尔自治区乌鲁木齐市 830000
  • 作者简介:李建江，男，1977年生，甘肃省平凉市人，汉族，2005年新疆医科大学毕业，硕士，主治医师，主要从事脊柱疾患研究。

Degenerative changes in adjacent segments after lumbar fixation and fusion: transforaminal endoscopic spine system 

Li Jian-jiang1, Chu Ge2, Yang Tao1, Huang Yi-fei1, Wu Yan-sheng1, Liu Yan-lu1   

  1. 1Second Department of Spine, Traditional Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China; 2First Department of Spine, Traditional Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China)
  • Received:2015-05-08 Online:2015-06-25 Published:2015-06-25
  • Contact: Chu Ge, First Department of Spine, Traditional Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China
  • About author:Li Jian-jiang, Master, Attending physician, Second Department of Spine, Traditional Medical Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830000, Xinjiang Uygur Autonomous Region, China

PDF

456

被引次数

30

摘要：

背景：椎间孔镜脊柱微创技术是目前治疗腰椎间盘突出症创伤最小的方法，可在局麻下进行，它不需要切除小关节，也不会破坏椎板，对脊柱的稳定性破坏最小。
目的：探讨经皮椎间孔镜下TESSYS技术治疗腰椎固定融合术后邻近节段退行性改变引发腰腿痛的短期疗效。
方法：纳入后路腰椎植骨融合内固定术后出现退行性改变发展到需二次手术的患者31例，其中男23例，女8例，年龄 45-81岁，术后时间为1.1-5.7年，L3-4单节段3例，L4-5单节段15例，L5S1单节段8例，多节段5例。均选择经皮椎间孔镜下TESSYS 技术治疗，治疗随访6个月，观察目测类比评分及腰椎功能日本骨科协会JOA评分变化。
结果与结论：患者术中即感觉腰腿疼痛症状明显缓解，术后即可下地行走活动，术后恢复比较满意，治疗后即刻、治疗后1，3，6个月的目测类比评分均低于治疗前，治疗后即刻、治疗后1，3，6个月的腰椎功能日本骨科协会JOA评分均高于治疗前。表明经皮椎间孔镜下TESSYS 技术治疗后路腰椎植骨融合内固定术后退行性改变具有安全性高、手术时间短、出血少、并发症少、恢复快及患者易接受等优点。

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

关键词: 植入物, 脊柱植入物, 腰椎固定融合术后, 邻近节段退行性改变, 经椎间孔, 椎间孔镜脊柱微创技术, TESSYS 技术

Abstract:

BACKGROUND: Spine minimally invasive technique through foraminal mirror is the method to treat lumbar disc herniation with minimal wound. This technique can be conducted under local anesthesia, and does not need to resect the small joint or destroy the vertebral plate, and has small damage to the spine.
OBJECTIVE: To explore the short-period effects of transforaminal endoscopic spine system for adjacent-segment degenerative changes-caused low back pain after lumbar fixation and fusion.
METHODS: A total of 31 patients with degenerative changes after posterior lumbar bone graft fusion fixation, who required secondary surgery, were enrolled in this study, including 23 males and 8 females, at the age of 45-81 years old. The postoperative time was 1.1-5.7 years. There were 3 cases of L3-4 single segment, 15 cases of L4-5 single segment, 8 cases of L5S1 single segment, and 5 cases of multi-segment. These patients were treated with transforaminal endoscopic spine system, and followed up for 6 months. Visual Analogue Scale score and lumbar function Japanese Orthopedic Association score were observed.
RESULTS AND CONCLUSION: Lumbar and leg pain symptoms were relieved noticeably during the operation. The patient could walk immediately after the surgery, and the postoperative recovery was quite satisfactory. Visual Analogue Scale score was lower immediately, 1, 3 and 6 months after treatment compared with pre-treatment. Lumbar function Japanese Orthopedic Association score was higher immediately, 1, 3 and 6 months after treatment compared with pre-treatment. Results verify that transforaminal endoscopic spine system for degenerative changes 
after posterior lumbar bone graft fusion fixation has some advantages such as high safety, short operation time, less hemorrhage, less complications, rapid restoration and easily accepted by patients.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

Key words: Spinal Fusion, Pain Measurement, Lumbar Vertebrae

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