Clinical Effect of Unilateral Approach Spinal Canal EnlargementAngioplasty in the Treatment of Degenerative Lumbar Spinal Stenosis under Endoscopic Microendoscopy
REN Mingliang, LI Hui, LIU Dongbin, et al
Nanhai Hospital Affiliated of Southern Medical University, Guangdong Foshan 528000, China
Abstract:Objective: To investigate the clinical effect of unilateral approach spinal canal enlargement angioplasty in the treatment of degenerative lumbar spinal stenosis under endoscopy. Methods: 100 patients with degenerative lumbar spinal stenosis admitted from January 2014 to December 2016 were randomly divided into two groups. Patients in the control group were given non-surgical symptomatic treatment, while patients in the experimental group were treated with microscopic endoscopy spinal canal enlargement angioplasty. pain, lumbar function, neurological function recovery, disease-related parameters and quality of life were compared between the two groups. Results: The JOA score, ASIA score, FIM score, lordosis angle, lumbosacral angle, distance traveled, intervertebral space height, spinal canal sagittal diameter, physiological function and other quality of life indicators and overall health score were significantly higher in the operation group. The ODI score of the operation group was significantly lower than that of the control group, there was a significant difference (P <0.05). Conclusion: The clinical effect of unilateral approach spinal canal enlargement angioplasty under the endoscope for the treatment of degenerative lumbar spinal stenosis is significant and has reference value.
[1] Higuchi D, Manabe N, Ino M. The association of each disability based on the three sub-categories of the roland-morris disability questionnaire during hospitalization with itself at 1 year postoperatively in patients with degenerative lumbar spinal stenosis[J]. Asian Spine,2014, 8(1): 1~7. [2] 李志跃,张泽鹏,陈世杰,等.单纯椎管扩大减压术与减压联合椎管成形术的临床疗效比较[J].中南大学学报(医学版),2015,40(5):533~538. [3] 陈付强,于洋,杨文荣,等.经皮椎间孔镜技术治疗老年退变性腰椎管狭窄症的临床研究[J].中国疼痛医学杂志,2015,21(10):759~763. [4] 许勇,陈仙,李利平,等.经皮椎间孔镜治疗腰椎管狭窄症的体会[J].中国骨与关节损伤杂志,2013,28(7):651~652. [5] 邓敦,颜海波,林宪法,等.微创椎间孔镜治疗退行性腰椎管狭窄早期临床效果[J].温州医科大学学报,2017,47(4):273~276,281. [6] Covaro A, Vila-Canet G, de Frutos A G, et al. Management of degenerative lumbar spinal stenosis: an evidence-based review[J]. Efort Open Rev,2016, 1(7): 267~274. [7] 付理强,郑超,伍骥,等.椎管内扩大成形术治疗腰椎管狭窄症的临床疗效[J].中华老年多器官疾病杂志,2016,15(12):912~918.