椎间孔镜与传统手术ppt课件

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1、椎间孔镜手术与传统显微手术比较的文献复习北京医院神经外科王作伟椎间孔镜治疗腰椎间盘突出症Themedianoverallimprovementoflegpain(VAS)was88%(range65–89%),globalperceivedeffect(MacNab)85%(72–94%),returntowork90%,recurrencerate5.7%,complications2.8%,re-operations7%.不同部位疼痛的缓解theeffectivenessoftheintrad

2、iscalandtheintracanaltechnique椎间盘内技术与椎管内技术有效率Themedianlegpainimprovement(VAS)intradiscal(n=1,267)：83%(78–88%)intracanal(n=4,985)：88%(65–89%)theresultsforglobalperceivedeffectwere(MacNab)intradiscal：85%(78–89%)intracanal：86%(72–93%),theeffectivenessoft

3、ransforaminalendoscopicsurgeryforthedifferenttypesofherniations不同类型椎间盘突出的有效率ThemedianGPE(MacNab)waslateralherniations86%centralherniations91%ttransforaminalendoscopicsurgerycomparedtoopenmicrodiscectomy椎间孔镜与显微手术的比较transforaminaendoscopicsurgeryopenlam

4、inotomyeffectivenessGPE(MacNab/other)84%(70–97%)78%(65–93%)Recurrences5.7%(5–6.6%)2.9%(0–6.8%)Complications1.5%(0–6.7%)1.0%(0–12%)Re-operations6.8%(3.3–15%)4.7%(0–11.5%)Transforaminalendoscopicspinalsurgery：Thefuture‘goldstandard’fordiscectomy?椎间孔镜手术：

5、也许是未来椎间盘切除手术的“金标准”谢谢！