局部麻醉下经皮后外侧经椎间孔内窥镜手术治疗局灶性胸黄韧带骨化：病例系列研究。

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-02-01 DOI:10.1016/j.jss.2024.11.020

Jing-Lai Xue MS, MD , Huo-Huo Xue MD , Jun-Qin Qiu MS, MD , Wei-Liang Cui MS, MD , Chao-Hui Wang MS , Zhong Liao MD

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引用次数: 0

摘要

微创技术，如经皮内镜椎间盘切除术，越来越多地用于治疗局灶性胸黄韧带骨化（TOLF），其安全性和有效性有待进一步证实。本研究的目的是探讨局麻下经皮后外侧经椎间孔内窥镜手术治疗局灶性鼻窦炎的安全性和有效性。方法：回顾性分析2016年12月至2019年7月福州市第二医院行局麻经皮后外侧经椎间孔内窥镜手术诊断为局灶性TOLF的12例病例。结果是功能状态和并发症。术后1 d以Epstein标准和日本骨科协会评分评价功能状态。中位随访时间为58.5（47,62）个月。结果：患者中位年龄为65（47,70）岁，女性占58.3%。中位手术时间156 min，术中出血量10-30 mL。日本骨科协会评分从术前到术后显著提高（6[5,6]至12.5 [12,13]）P结论：局麻下经皮经椎间孔后外侧内镜手术治疗TOLF可获得满意的安全性和有效性。长期随访未见严重并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Treatment of Focal Thoracic Ossification of the Ligamentum Flavum by Percutaneous Posterolateral Transforaminal Endoscopic Surgery Under Local Anesthesia: A Case Series Study

Introduction

Minimally invasive techniques, such as percutaneous endoscopic discectomy, are increasingly utilized for treating focal thoracic ossification of the ligamentum flavum (TOLF), where their safety and efficacy needs to be further confirmed. The purpose of this study was to investigate the safety and efficacy of percutaneous posterolateral transforaminal endoscopic surgery under local anesthesia for treating focal TOLF.

Methods

This case series study reviewed medical records of 12 cases diagnosed with focal TOLF who underwent percutaneous posterolateral transforaminal endoscopic surgery under local anesthesia from December 2016 to July 2019 at Fuzhou Second Hospital. Outcomes were functional status and complications. Functional status was evaluated by Epstein criteria and the Japanese Orthopedic Association score 1 d after surgery. The median follow-up time was 58.5 (47, 62) mo.

Results

Patients' median age was 65 (47, 70) y and 58.3% were female. The median surgical duration was 156 min and intraoperative blood loss was 10-30 mL. The Japanese Orthopedic Association score improved significantly from preoperatively to postoperatively (6 [5, 6] to 12.5 [12, 13], P < 0.001). Based on Epstein's criteria, treatment outcomes were excellent in nine cases, good in two cases, and fair in one case. All included patients returned to free movement from the second day after surgery. No severe complications were reported during follow-up.

Conclusions

Percutaneous posterolateral transforaminal endoscopic surgery under local anesthesia can achieve satisfactory safety and efficacy for treating TOLF. No severe complication was noticed during long-term follow-up.

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.