Application of grid-like locator in percutaneous transforaminal endoscopic discectomy for lumbar disc herniation in young adults

LUO Sheng-zhong; ZHANG Guo-fu; CHENG Xi-gao

doi:10.11659/jjssx.10E023070

您当前的位置：

首页 >

文章列表页 >

Application of grid-like locator in percutaneous transforaminal endoscopic discectomy for lumbar disc herniation in young adults

Clinical Research | 更新时间：2024-09-29

- Application of grid-like locator in percutaneous transforaminal endoscopic discectomy for lumbar disc herniation in young adults
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 33, Issue 9, Pages: 805-809(2024)
- 作者机构：
  
  1.南昌大学第二附属医院骨科，江西南昌 330000
  2.江西中医药大学附属中医院骨伤科，江西南昌 330000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.10E023070
  CLC： R681.5
- Published：25 September 2024，
  
  Received：16 October 2023，
- 稿件说明：
移动端阅览
罗盛中,张国福,程细高.网格状定位器在青壮年腰椎间盘突出症经皮椎间孔镜技术中的应用[J].局解手术学杂志,2024,33(09):805-809.

LUO Sheng-zhong,ZHANG Guo-fu,CHENG Xi-gao.Application of grid-like locator in percutaneous transforaminal endoscopic discectomy for lumbar disc herniation in young adults[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):805-809.
罗盛中,张国福,程细高.网格状定位器在青壮年腰椎间盘突出症经皮椎间孔镜技术中的应用[J].局解手术学杂志,2024,33(09):805-809. DOI： 10.11659/jjssx.10E023070.

LUO Sheng-zhong,ZHANG Guo-fu,CHENG Xi-gao.Application of grid-like locator in percutaneous transforaminal endoscopic discectomy for lumbar disc herniation in young adults[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2024,33(09):805-809. DOI： 10.11659/jjssx.10E023070.

摘要

目的

探讨网格状定位器在青壮年腰椎间盘突出症（LDH）行经皮椎间孔镜（TESSYS）技术中的应用效果。

方法

采用随机对照的研究方法，纳入102例青壮年LDH患者，分为对照组和观察组，每组51例。对照组患者行TESSYS技术，观察组患者行网格状定位器下TESSYS技术。比较2组患者围术期指标、并发症、手术优良率及手术前后疼痛介质[5-羟色胺（5-HT）、P物质（SP）]、Oswestry功能障碍指数（ODI）、视觉模拟评分法（VAS）、Cobb角、腰椎曲度指数。

结果

观察组患者手术时间短于对照组，术中出血量、术中透视次数少于对照组（

0.05）。术后3 d观察组患者血清5-HT、SP水平及VAS评分均低于对照组（

0.05）；术后3个月、6个月、12个月2组患者血清疼痛介质、VAS评分、ODI评分、Cobb角、腰椎曲度指数比较差异均无统计学意义（

0.05）。术后12个月，观察组与对照组患者并发症发生率（4.16%

vs.

10.64%）、手术优良率（89.58%

vs.

85.11%）比较差异均无统计学意义（

0.05）。

结论

在使用TESSYS技术治疗青壮年LDH时应用网格状定位器有助于减少术中透视次数，缓解疼痛症状，缩短手术时间。

Abstract

Objective

To investigate the application effect of grid-like locator in percutaneous transforaminal endoscopic discectomy （TESSYS） technology for lumbar disc herniation （LDH） in young adults.

Methods

Using a randomized controlled study method， 102 young adults with LDH were included and divided into the control group and the observation group， with 51 cases in each group. Patients in the control group underwent TESSYS technology， while patients in the observation group underwent TESSYS technology with a grid-like locator. The perioperative indicators， complications， good to excellent surgical rate， the pre- and post-operative pain mediators ［5-hydroxytryptamine （5-HT）， substance P （SP）］， Oswestry disability index （ODI）， visual analogue scale （VAS）， Cobb angle， and lumbar curvature index were compared between the two groups.

Results

The operation time of patients in the observation group was shorter than that of the control group， and the intraoperative blood loss and the number of intraoperative fluoroscopy were less than those of the control group （

0.05）. The levels of serum 5-HT and SP， and VAS score 3 days after surgery in the observation group were lower than those in the control group （

0.05）. There was no significant difference in the serum pain mediators， VAS scores， ODI scores， Cobb angles， or lumbar curvature indexes 3 months， 6 months， and 12 months after surgery between the two groups （

0.05）. There was no significant difference between the observation group and the control group in the incidence of complications （4.16%

. 10.64%）， good to excellent surgical rate （89.58%

. 85.11%）12 months after surgery（

0.05）.

Conclusion

The application of a grid-like locator in TESSYS technology for young adults with LDH can help to reduce the intraoperative fluoroscopy， alleviate pain symptoms， and shorten the operation time.

关键词

青壮年腰椎间盘突出症经椎间孔内镜脊柱系统技术网格状定位器C型臂机

Keywords

young adultslumbar disc herniationtransforaminal endoscopic spine systemgrid-like locatorC-arm machine

references

Plaza-Manzano G，Cancela-Cilleruelo I，Fernández-de-Las-Peñas C，et al.Effects of adding a neurodynamic mobilization to motor control training in patients with lumbar radiculopathy due to disc herniation：a randomized clinical trial［J］.Am J Phys Med Rehabil，2020，99（2）：124-132.doi：10.1097/PHM.0000000000001295http://dx.doi.org/10.1097/PHM.0000000000001295.

Xu J，Ding X，Wu J，et al.A randomized controlled study for the treatment of middle-aged and old-aged lumbar disc herniation by Shis spine balance manipulation combined with bone and muscle guidance［J］.Medicine （Baltimore），2020，99（51）：e23812.doi：10.1097/MD.0000000000023812http://dx.doi.org/10.1097/MD.0000000000023812.

Zhou F，Tao H，Liu G，et al.Clinical effect of TESSYS technique under spinal endoscopy combined with drug therapy in patients with lumbar disc herniation and its effect on quality of life and serum inflammatory factors：results of a randomized trial［J］.Ann Palliat Med，2021，10（8）：8728-8736.doi：10.21037/apm-21-1282http://dx.doi.org/10.21037/apm-21-1282.

林涌鹏，李永津，陈博来，等.电磁导航与C臂透视引导经皮椎间孔镜手术治疗腰椎间盘突出症的疗效比较：2年随访［J］.实用医学杂志，2021，37（21）：2733-2738.doi：10.3969/j.issn.1006-5725.2021.21.006http://dx.doi.org/10.3969/j.issn.1006-5725.2021.21.006.

方晓辉，吴一雄，胡辉东，等.改良金属网格定位器经皮微创椎弓根螺钉内固定术治疗无神经症状胸腰椎骨折［J］.脊柱外科杂志，2019，17（6）：388-393.doi：10.3969/j.issn.1672-2957.2019.06.005http://dx.doi.org/10.3969/j.issn.1672-2957.2019.06.005.

周谋望，岳寿伟，何成奇，等.“腰椎间盘突出症的康复治疗”中国专家共识［J］.中国康复医学杂志，2017，32（2）：130-135.doi：10.3969/j.issn.1001-1242.2017.02.001http://dx.doi.org/10.3969/j.issn.1001-1242.2017.02.001.

Shafshak TS，Elnemr R.The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain［J］.J Clin Rheumatol，2021，27（7）：282-285.doi：10.1097/RHU.0000000000001320http://dx.doi.org/10.1097/RHU.0000000000001320.

McNeely EL，Zhang B，Neuman BJ，et al.Estimating measurement error of the Oswestry disability index with missing data［J］.Spine J，2022，22（6）：975-982.doi：10.1016/j.spinee.2022.01.013http://dx.doi.org/10.1016/j.spinee.2022.01.013.

胡伟，周志化，巩陈，等.经椎板间入路保留黄韧带脊柱内镜手术治疗L5S1椎间盘突出症的疗效观察［J］.中国骨与关节损伤杂志，2023，38（1）：21-24.doi：10.7531/j.issn.1672-9935.2023.01.005http://dx.doi.org/10.7531/j.issn.1672-9935.2023.01.005.

Rickers KW，Pedersen PH，Tvedebrink T，et al.Comparison of interventions for lumbar disc herniation：a systematic review with network meta-analysis［J］.Spine J，2021，21（10）：1750-1762.doi：10.1016/j.spinee.2021.02.022http://dx.doi.org/10.1016/j.spinee.2021.02.022.

Luan J，Wang Q，Lyu D，et al.Comparable effectiveness of transforaminal endoscopic spine system technique combined with selective nerve root block between far lateral lumbar disc herniation and central or paracentral herniation［J］.Jt Dis Relat Surg，2022，33（3）：513-520.doi：10.52312/jdrs.2022.761http://dx.doi.org/10.52312/jdrs.2022.761.

Song QC，Zhao Y，Li D，et al.Percutaneous endoscopic transforaminal discectomy for the treatment of L5-S1 lumbar disc herniation and the influence of iliac crest height on its clinical effects［J］.Exp Ther Med，2021，22（2）：866.doi：10.3892/etm.2021.10298http://dx.doi.org/10.3892/etm.2021.10298.

Zheng HD，Sun YL，Kong DW，et al.Deep learning-based high-accuracy quantitation for lumbar intervertebral disc degeneration from MRI［J］.Nat Commun，2022，13（1）：841.doi：10.1038/s41467-022-28387-5http://dx.doi.org/10.1038/s41467-022-28387-5.

Liu JL，Wu JL，Zhang HL，et al.Application of a targeted and quantificational foraminoplasty device in percutaneous transforaminal endoscopic discectomy for L5-S1 disc herniation：preliminary clinical outcomes［J］.J Orthop Surg Res，2021，16（1）：398.doi：10.1186/s13018-021-02533-zhttp://dx.doi.org/10.1186/s13018-021-02533-z.

杨扬，孔鹏，魏传付，等.椎间孔镜可视环锯治疗老年腰椎间盘突出症［J］.中国矫形外科杂志，2021，29（11）：971-975.doi：10.3977/j.issn.1005-8478.2021.11.03http://dx.doi.org/10.3977/j.issn.1005-8478.2021.11.03.

丁祥，牛国旗，阮传江，等.网格定位器在PVP手术治疗骨质疏松性椎体压缩骨折的作用分析［J］.颈腰痛杂志，2021，42（6）：775-777.doi：10.3969/j.issn.1005-7234.2021.06.006http://dx.doi.org/10.3969/j.issn.1005-7234.2021.06.006.

谢雁春，赵予辉，顾洪闻，等.网格定位器在腰椎椎体成形术中的应用［J］.中华骨科杂志，2021，41（1）：18-25.doi：10.3760/cma.j.cn121113-20200213-00061http://dx.doi.org/10.3760/cma.j.cn121113-20200213-00061.

许平成，褚亚伟，徐英杰，等.经皮椎间孔镜下椎间盘切除术对腰椎间盘突出症患者应激、术后疼痛及腰背伸肌群肌电图的影响［J］.颈腰痛杂志，2021，42（4）：535-538.doi：10.3969/j.issn.1005-7234.2021.04.027http://dx.doi.org/10.3969/j.issn.1005-7234.2021.04.027.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effect of a new type of self-made new bone drill applied to L₅/S₁ intervertebral disc herniation surgery

Comparative analysis of unilateral biportal endoscopy and percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation

Correlation analysis between different preoperative diagnoses and superior facet joint violation in posterior lumbar interbody fusion

Minimally invasive surgical treatment of adolescent lumbar disc herniation

Clinical effect of percutaneous endoscopic lumbar discectomy in the treatment of lumbar disc herniation and calcification

Related Author

NIE Zhi-hong

LI Bo-wen

ZHANG Jian

FAN Ge-lin

FAN Dong-jiao

ZHAO Yang-yang

Wang Jian-xin

LI Xiao-hang

Related Institution

First Department of Spine and Orthopedics， Xingtai People's Hospital

Department of Ultrasound， Xingtai People's Hospital

Department of Orthopedics，Panjin Liaoyou Gem Flower Hospital

Department of Orthopedics， First Affiliated Hospital of Chongqing Medical University

Department of Orthopedics,Quxian People’s Hospital,Quxian Sichuan

⁰