• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

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。

Efficacy of endoscopic interlaminar decompression in lumbar spinal stenosis: a retrospective study.

机构信息

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

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

出版信息

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

DOI:10.1038/s41598-024-77337-2
PMID:39505943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11541571/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/dc6e6bc32811/41598_2024_77337_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/ab9ce241f64c/41598_2024_77337_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/ca7162f48763/41598_2024_77337_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/a8b55ffe5469/41598_2024_77337_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/157188a6d10f/41598_2024_77337_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/f32cf44744a4/41598_2024_77337_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/dc6e6bc32811/41598_2024_77337_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/ab9ce241f64c/41598_2024_77337_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/ca7162f48763/41598_2024_77337_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/a8b55ffe5469/41598_2024_77337_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/157188a6d10f/41598_2024_77337_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/f32cf44744a4/41598_2024_77337_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a97/11541571/dc6e6bc32811/41598_2024_77337_Fig6_HTML.jpg

相似文献

1
Efficacy of endoscopic interlaminar decompression in lumbar spinal stenosis: a retrospective study.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。
Sci Rep. 2024 Nov 6;14(1):26956. doi: 10.1038/s41598-024-77337-2.
2
[Unilateral interlaminar approach 270° circular spinal canal decompression under the iLESSYS Delta for the treatment of lumbar spinal stenosis in the elderly].[在iLESSYS Delta下采用单侧椎板间入路270°环形椎管减压术治疗老年腰椎管狭窄症]
Zhongguo Gu Shang. 2023 Nov 25;36(11):1070-4. doi: 10.12200/j.issn.1003-0034.2023.11.012.
3
Using a percutaneous spinal endoscopy unilateral posterior interlaminar approach to perform bilateral decompression for patients with lumbar lateral recess stenosis.经皮脊柱内窥镜单侧椎板间入路双侧减压治疗腰椎侧隐窝狭窄症。
Asian J Surg. 2020 May;43(5):593-602. doi: 10.1016/j.asjsur.2019.08.010. Epub 2019 Oct 5.
4
[Two kinds of percutaneous endoscopic lumbar decompression in the treatment of single level lumbar lateral recess stenosis].两种经皮内镜下腰椎减压术治疗单节段腰椎侧隐窝狭窄症
Zhongguo Gu Shang. 2024 Apr 25;37(4):338-44. doi: 10.12200/j.issn.1003-0034.20221359.
5
"Tube in tube" interlaminar endoscopic decompression for the treatment of lumbar spinal stenosis: Technique notes and preliminary clinical outcomes of case series.“管中管”椎间孔镜下减压治疗腰椎管狭窄症：技术要点及病例系列的初步临床结果
Medicine (Baltimore). 2019 Aug;98(35):e17021. doi: 10.1097/MD.0000000000017021.
6
Microendoscopy-assisted muscle-preserving interlaminar decompression for lumbar spinal stenosis: clinical results of consecutive 105 cases with more than 3-year follow-up.显微内镜辅助保留肌肉的层间减压治疗腰椎管狭窄症：105例连续病例超过3年随访的临床结果
Spine (Phila Pa 1976). 2014 Mar 1;39(5):E318-25. doi: 10.1097/BRS.0000000000000160.
7
Linical efficacy of percutaneous endoscopic lumbar discectomy for the treatment of lumbar spinal stenosis in elderly patients: a retrospective study.经皮内镜腰椎间盘切除术治疗老年腰椎管狭窄症的临床疗效：一项回顾性研究。
J Orthop Surg Res. 2020 Sep 24;15(1):441. doi: 10.1186/s13018-020-01968-0.
8
Early results of full-endoscopic decompression of lumbar central canal stenosis by outside-in technique: A clinical and radiographic study.经皮内镜下椎管外技术治疗腰椎中央管狭窄症的早期临床和影像学研究。
Medicine (Baltimore). 2021 Oct 1;100(39):e27356. doi: 10.1097/MD.0000000000027356.
9
Tubular surgery with the assistance of endoscopic surgery via a paramedian or midline approach for lumbar spinal canal stenosis at the L4/5 level.经旁正中或中线入路在内镜手术辅助下行L4/5节段腰椎管狭窄症的管状手术。
J Orthop Surg (Hong Kong). 2018 May-Aug;26(2):2309499018782546. doi: 10.1177/2309499018782546.
10
Clinical Observation of 10-mm Endoscopic Minimally Invasive Interlaminar Decompression in the Treatment of Ossified Lumbar Spinal Stenosis.10mm 内镜下微创椎板间入路治疗骨化性腰椎管狭窄症的临床观察。
World Neurosurg. 2024 Jul;187:e129-e135. doi: 10.1016/j.wneu.2024.04.046. Epub 2024 Apr 16.

引用本文的文献

1
Endoscopic Interlaminar Standalone Decompression for Lumbar Lateral Recess Stenosis With Subligamentous Disc Herniation: A Disc-Preserving Alternative to Discectomy.内镜下单纯椎间孔减压治疗伴后纵韧带下椎间盘突出的腰椎侧隐窝狭窄症：一种保留椎间盘的椎间盘切除术替代方法
Orthop Surg. 2025 Jul;17(7):2093-2102. doi: 10.1111/os.70087. Epub 2025 May 31.

本文引用的文献

1
Clinical efficacy of percutaneous transforaminal endoscopic TESSYS technique in the treatment of senile lumbar spinal stenosis.经皮椎间孔镜TESSYS技术治疗老年腰椎管狭窄症的临床疗效
Am J Transl Res. 2021 Aug 15;13(8):9356-9363. eCollection 2021.
2
Lumbar spinal stenosis.腰椎管狭窄症
BMJ. 2021 Jun 29;373:n1581. doi: 10.1136/bmj.n1581.
3
Defining the MIS-TLIF: A Systematic Review of Techniques and Technologies Used by Surgeons Worldwide.定义微创经椎间孔腰椎椎间融合术：对全球外科医生所使用技术和工艺的系统评价
Global Spine J. 2020 Apr;10(2 Suppl):151S-167S. doi: 10.1177/2192568219882346. Epub 2020 May 28.
4
Comparison of bilateral decompression via unilateral laminotomy and conventional laminectomy for single-level degenerative lumbar spinal stenosis regarding low back pain, functional outcome, and quality of life - A Randomized Controlled, Prospective Trial.单侧小切口双侧减压与传统椎板切除术治疗单节段退变性腰椎管狭窄症的疗效比较：一项随机对照前瞻性研究。
J Orthop Surg Res. 2019 Aug 8;14(1):252. doi: 10.1186/s13018-019-1298-3.
5
Outcome of unilateral versus standard open midline approach for bilateral decompression in lumbar spinal stenosis: is "over the top" really better? A Swiss prospective multicenter cohort study.腰椎管狭窄症双侧减压的单侧与标准开放中线入路的疗效比较：“越过顶部”真的更好吗？一项瑞士前瞻性多中心队列研究。
J Neurosurg Spine. 2019 Apr 26;31(2):236-245. doi: 10.3171/2019.2.SPINE181309. Print 2019 Aug 1.
6
Lumbar Spinal Stenosis in Older Adults.老年人腰椎管狭窄症
Rheum Dis Clin North Am. 2018 Aug;44(3):501-512. doi: 10.1016/j.rdc.2018.03.008. Epub 2018 Jun 12.
7
Do modic changes, disc degeneration, translation and angular motion affect facet osteoarthritis of the lumbar spine.Modic 改变、椎间盘退变、平移和角度运动是否会影响腰椎小关节骨关节炎。
Eur J Radiol. 2018 Jan;98:193-199. doi: 10.1016/j.ejrad.2017.11.023. Epub 2017 Dec 2.
8
Effectiveness of surgery versus conservative treatment for lumbar spinal stenosis: A system review and meta-analysis of randomized controlled trials.手术与保守治疗腰椎管狭窄症的疗效比较：系统评价和随机对照试验的荟萃分析。
Int J Surg. 2017 Aug;44:329-338. doi: 10.1016/j.ijsu.2017.07.032. Epub 2017 Jul 10.
9
Trends, Complications, and Costs for Hospital Admission and Surgery for Lumbar Spinal Stenosis.腰椎管狭窄症住院和手术的趋势、并发症和费用。
Spine (Phila Pa 1976). 2017 Nov 15;42(22):1737-1743. doi: 10.1097/BRS.0000000000002207.
10
Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF/ATP, LLIF and ALIF.腰椎椎间融合术：技术、适应证以及椎间融合选择的比较，包括后路腰椎椎间融合术（PLIF）、经椎间孔腰椎椎间融合术（TLIF）、改良经椎间孔腰椎椎间融合术（MI-TLIF）、斜外侧腰椎椎间融合术/前斜外侧腰椎椎间融合术（OLIF/ATP）、侧方腰椎椎间融合术（LLIF）和前路腰椎椎间融合术（ALIF）
J Spine Surg. 2015 Dec;1(1):2-18. doi: 10.3978/j.issn.2414-469X.2015.10.05.