内镜下经椎间孔入路胸椎管减压术的短期疗效分析

The analysis of security and short-term clinical efficacy of endoscopic thoracic canal decompression via the transforaminal approachGao Fei1,Fu Bo1,2,Feng Yi1D

摘要:

目的：探讨局麻、侧卧位内镜下经关节突侧方开窗入路胸椎管减压、突出间盘摘除术治疗胸椎间盘突出症的技术细节、安全性及短期疗效。资料和方法：回顾性分析2021年7月至2023年6月纳入本研究的27例患者的临床资料,比较患者术前1天及术后1个月、6个月的疼痛视觉模拟评分(visual analogue scale,VAS评分)、Oswestry功能障碍评分(Oswestry disability index,ODI)。结果：所有患者均未发生神经损伤、硬膜囊破裂等并发症。与术前1天相比,术后1个月及6个月患者的VAS评分及ODI评分均较术前显著改善(P＜0.05)。结论：局麻、侧卧位内镜下经关节突侧方开窗入路胸椎管减压、突出间盘摘除术治疗胸椎间盘突出症操作安全、神经减压充分,短期疗效满意。

Abstract:

Objective: To investigate the technical details, security and short-term clinical efficacy of endoscopic thoracic canal decompression and protruding disc extraction via the transforaminal approach under local anesthesia and Lateral decubitus position. Material and Methods: Clinical data of who were admitted to our hospital from July 2021 to June 2023 were retrospectively reviewed. Via transforaminal approach under local anesthesia and lateral decubitus position, enlarged 27 patients with thoracic disc herniation thoracic canal and endoscopic thoracic discectomy were applied for treatment. The changes of the pain symptoms and recovery of spinal cord function were observed 1 day preoperatively and 1 month, 6 months postoperatively. Pain were scored with VAS, and thoracic spine cord function was assessed with ODI. Results: All operations were completed successfully, and no intraoperative conversion of surgical methods occurred. No neurological complications, cerebrospinal fluid leaks and infection occurred perioperatively. The pain VAS scores and ODI scores were significantly improved at 1 month and 6 months postoperatively (P＜0.05). Conclusions: Endoscopic thoracic canal decompression and protruding disc extraction via the transforaminal approach under local anesthesia and Lateral decubitus position is a safe and effective treatment.