Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, 676 N. St. Clair St., Suite 2210, Chicago, IL 60611, USA.
J Clin Neurosci. 2011 Oct;18(10):1360-4. doi: 10.1016/j.jocn.2011.02.022. Epub 2011 Jul 19.
Minimally invasive modalities have demonstrated efficacy in the treatment of neurogenic claudication. Direct comparisons, however, between complication rates of these newer techniques with open surgical techniques for lumbar decompression are lacking. This single-institution study examined neurogenic claudicants between August 2007 and June 2009. A total of 26 patients received open surgical decompression, and 23 patients microendoscopic decompression. Baseline demographic characteristics, peri-operative morbidity and mortality, length of hospital stay, and final disposition following hospitalization were recorded. Morbidity was divided into major and minor categories as defined by degree of requisite intervention and adverse impact on hospital stay. Average age, number of surgical levels, and pre-operative American Society of Anesthesiologists Physical Status Index scores were similar in each group (p>0.05). While minimally invasive surgery may be associated with slightly longer operative times, there is decreased blood loss, shorter hospital stays, and likely decreased requirements for ancillary support services upon discharge.
微创方法已被证明在治疗神经性跛行方面有效。然而，这些新技术与腰椎减压的开放式手术技术之间的并发症发生率的直接比较仍然缺乏。本单中心研究于 2007 年 8 月至 2009 年 6 月期间对神经性跛行患者进行了研究。共有 26 例患者接受了开放式手术减压，23 例患者接受了微创减压。记录了基线人口统计学特征、围手术期发病率和死亡率、住院时间以及住院后的最终情况。发病率根据所需干预的程度和对住院时间的不利影响分为主要和次要两类。每组的平均年龄、手术节段数和术前美国麻醉医师协会身体状况指数评分相似（p>0.05）。虽然微创手术可能与手术时间稍长有关，但出血量减少、住院时间缩短，并且出院时可能对辅助支持服务的需求减少。
