doi:10．3969/j．issn．1008-0287．2023．03．005·临床论著·大通道全内镜下单侧入路双侧椎管减压治疗退变性腰椎管狭窄症张明赳，魏玉锋摘要:目的探讨大通道全内镜下单侧入路双侧椎管减压治疗退变性腰椎管狭窄症的临床疗效。方法采用大通道全内镜下单侧入路双侧椎管减压治疗17例退变性腰椎管狭窄症患者。记录手术时间、术中出血量及并发症发生情况，采用疼痛VAS评分评估腰腿痛程度，采用ODI评价腰椎功能情况，根据改良MacNab评定标准评价疗效。结果手术时间100～380(169.53±72.73)min，术中出血量20～150(39.41±35.44)ml。1例术中硬膜囊撕裂。未发生椎间隙感染、神经损伤、血管损伤、椎管内血肿等并发症。患者均获得随访，时间7～24个月。术后3d、1个月、3个月及末次随访时疼痛VAS评分、ODI均较术前明显改善(P＜0.05)。末次随访时根据改良MacNab评定标准评价疗效:优7例，良9例，可1例，优良率16/17。结论大通道全内镜下单侧入路双侧椎管减压治疗退变性腰椎管狭窄症创伤小，并发症少，疗效好。关键词:退变性腰椎管狭窄症;单侧入路;双侧椎管减压;全内镜;大通道中图分类号:Ｒ681.57;Ｒ687.3文献标识码:A文章编号:1008－0287(2023)03－0314－04Treatmentofdegenerativelumbarspinalcanalstenosiswithunilateralapproachandbilateraldecompressionunderlarge-channelfullendoscopyZHANGMing-jiu，WEIYu-feng(DeptofSpine，theFirstPeople'sHospitalofBaiyinCity，Baiyin，Gansu730900，China)Abstract:ObjectiveToinvestigatetheclinicaleffectoflarge-channelfullendoscope-assistedbilateraldecompres-sionfordegenerativelumbarspinalstenosisviaunilateralapproach．MethodsThe17casesofdegenerativelumbarspinalcanalstenosisweretreatedbyunilateralapproachandbilateraldecompressionunderlarge-channelfullendo-scopic．Theoperationtime，intraoperativebloodlossandcomplicationswererecorded．Thedegreeoflumbocruralpainwasevaluatedbypainvisualanaloguescore(VAS)，thelumbarfunctionwasevaluatedbytheOswestrydysfunctionin-dex(ODI)，thecurativeeffectwasevaluatedaccordingtothemodifiedMacNabevaluationstandard．ＲesultsTheop-erativetimewas100～380(169.53±72.73)min，andtheintraoperativebloodlosswas20～150(39.41±35.44)ml．Therewas1caseofintraoperativeduralsactear;andnocomplicationssuchasintervertebralspaceinf...
