单门非同轴脊柱内窥镜手术联合纤维环缝合技术治疗腰椎间盘突出症:病例系列。

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of International Medical Research Pub Date : 2025-06-01 Epub Date: 2025-06-27 DOI:10.1177/03000605251351726
Yongneng Li, Lihui Fu, Yongqiang Yang, Shuwen Kan, En Song
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引用次数: 0

摘要

目的探讨单门非同轴脊柱内窥镜手术联合多聚球4-0可吸收缝线修复纤维环破裂治疗腰椎间盘突出症的临床疗效。方法回顾性研究201例于2023年5月至2024年8月在我院行单门非同轴脊柱内窥镜手术的患者。其中22例采用保留黄韧带的黄韧带悬吊手术,并结合纤维环缝合技术。我们分析了这22例患者的人口学信息、术前和术后影像学资料以及临床结果。结果22例患者随访6 ~ 15个月;在最后一次随访时,术后功能评估如Oswestry残疾指数的改善有统计学意义(P
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Uni-portal non-coaxial spinal endoscopic surgery combined with annulus fibrosus suture technique for lumbar disc herniation: Case series.

ObjectiveTo investigate the clinical efficacy of uni-portal non-coaxial spinal endoscopic surgery combined with Polysorb 4-0 absorbable sutures for repairing ruptured annulus fibrosus in the treatment of lumbar disc herniation.MethodsWe conducted a retrospective study involving 201 patients who underwent uni-portal non-coaxial spinal endoscopic surgery from May 2023 to August 2024 at our institution. Among these patients, 22 were treated using ligamentum flavum suspension surgery while preserving the ligamentum flavum, combined with the annulus fibrosus suture technique. We analyzed the demographic information, preoperative and postoperative imaging data, and clinical outcomes of these 22 patients.ResultsThese 22 patients were followed for 6-15 months; at the last follow-up, the improvement in postoperative functional evaluations, such as the Oswestry Disability Index, was statistically significant (P < 0.05). There were two cases of epidural fibrosis at grade 1 and one case of epidural fibrosis at grade 2. There was a slight decrease in disk height. There were no instances of postoperative recurrence, although one patient exhibited postoperative dysesthesia.ConclusionUni-portal non-coaxial spinal endoscopic surgery is straightforward, versatile, and flexible. Preservation of the ligamentum flavum significantly helps prevent epidural fibrosis. Employing Polysorb 4-0 absorbable sutures to repair the annulus fibrosus reduces early recurrence risk, providing satisfactory outcomes for patients with herniated discs. This technique offers a novel and effective treatment alternative for lumbar disc herniation.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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