椎间孔镜与传统手术.pptx

椎间孔镜手术与传统显微手术比较的文献复****br/>北京医院神经外科王作伟
椎间孔镜治疗腰椎间盘突出症
The median overall improvement of leg pain(VAS) was 88 %(range 65–89%),
global perceived effect(ab) 85% (72–94%),
return to work 90%,
recurrencerate %,
complications %,
re-operations 7%.
不同部位疼痛的缓解
the effectiveness of the intradiscal and the intracanal technique 椎间盘内技术与椎管内技术有效率
Themedian leg pain improvement (VAS) intradiscal (n = 1,267) :83% (78–88%)
intracanal (n = 4,985) :88% (65–89%)
the results for global perceived effect were (ab)
intradiscal: 85% (78–89%)
intracanal:86% (72–93%),
the effectiveness of transforaminal endoscopic surgery for the different types of herniations 不同类型椎间盘突出的有效率
The median GPE (ab)was
lateral herniations 86%
central herniations 91%
ttransforaminal endoscopic pared to open microdiscectomy椎间孔镜与显微手术的比较
transforamina endoscopic surgery
open laminotomy
effectiveness GPE (ab/other)
84% (70–97%)
78% (65–93%)
Recurrences
% (5–%)
% (0–%)
Complications
% (0–%)
% (0–12%)
Re-operations
% (–15%)
%(0–%)
advantage
less tissue injury
shorter operating times
less blood loss (even if not statistically evaluated)
less postoperative surgical site pain
shorter hospital stay
faster return to work
economic advantage ?
disadvantage
steep learning curve
radiation exposure
Recurrences ?
Transforaminal endoscopic spinal surgery: The future ‘gold standard’ for discectomy?
椎间孔镜手术:
也许是未来椎间盘切除手术的“金标准”