内镜下椎板间减压治疗腰椎管狭窄症的疗效：一项回顾性研究。

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Hainan Hospital of Traditional Chinese Medicine, Hainan, 570203, China.

Sci Rep. 2024 Nov 6;14(1):26956. doi: 10.1038/s41598-024-77337-2.

This retrospective study evaluated the clinical effectiveness of endoscopic interlaminar decompression for lumbar spinal stenosis in 40 patients treated from February 2020 to January 2022. The procedure was successful in all cases, with only one dural sac injury reported and no other complications. Postoperative Visual Analogue Scale (VAS) and Japanese Orthopaedic Association (JOA) scores improved significantly (P<0.05), and the modified Macnab criteria showed an 87.5% rate of excellent and good outcomes at follow-up. No patients required revision surgery. Overall, the endoscopic interlaminar approach proved to be effective, safe, and supported early recovery.

本回顾性研究评估了内镜下椎管间减压术治疗腰椎管狭窄症的临床疗效，共纳入 2020 年 2 月至 2022 年 1 月期间收治的 40 例患者。所有患者手术均成功，仅 1 例发生硬脊膜损伤，无其他并发症。术后视觉模拟评分（VAS）和日本骨科协会（JOA）评分均显著改善（P<0.05），改良 Macnab 标准显示随访时优良率为 87.5%。无患者需要再次手术。总之，内镜下椎管间入路具有疗效确切、安全性高、早期康复的优点。