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内镜手术治疗腰椎管狭窄症:随机临床试验的综合评价

ENDOSCOPIC SURGERY FOR TREATING SPINAL STENOSIS: AN INTEGRATIVE REVIEW OF RANDOMIZED CLINICAL TRIALS.

作者信息

Aparício Rafael Augusto da Silva, de Oliveira Rodrigo Freitas Maringoni, Pinto Felipe de Almeida, Gorios Carlos, Zanon Lorran Azevedo, Masi Alessandra

机构信息

Hospital Geral de Carapicuiba, Serviço de Ortopedia e Traumatologia, Carapicuiba, São Paulo, SP, Brazil.

出版信息

Acta Ortop Bras. 2025 Jan 10;32(6):e278913. doi: 10.1590/1413-785220243206e278913. eCollection 2024.

Abstract

BACKGROUND

Spinal stenosis refers to the narrowing of the spinal canal which can generate clinical symptoms secondary to the spinal cord injury itself, or even root involvement. The traditional open surgical procedure to correct spinal stenosis is highly traumatic and risky, and with the development of surgical techniques, endoscopic procedures have been widely used in treating said stenosis, achieving good results with minimally invasive management.

AIM

To conduct a literature review regarding endoscopic techniques for correcting spinal stenosis.

METHOD

This is an integrative literature review that surveyed the PUBMED database using the following search strategy: spinal[title] AND stenosis[title] AND surgery[title]. Only randomized clinical trials published in the last 10 years were included in the sample.

RESULTS

A total of 13 articles were identified that met the previously established search strategy, all of which were included in the review.

CONCLUSION

The reviewed studies showed that endoscopic surgery to correct spinal stenosis could offer adequate decompression of neural elements, resulting in shorter hospital stays, faster recovery and favorable operative results.

摘要

背景

椎管狭窄是指椎管变窄,可继发于脊髓损伤本身而产生临床症状,甚至累及神经根。传统的开放性手术治疗椎管狭窄创伤大、风险高,随着手术技术的发展,内镜手术已广泛应用于治疗此类狭窄,在微创治疗方面取得了良好效果。

目的

对内镜技术治疗椎管狭窄进行文献综述。

方法

这是一项整合性文献综述,采用以下检索策略对PUBMED数据库进行检索:脊髓[标题] AND 狭窄[标题] AND 手术[标题]。样本仅纳入过去10年发表的随机临床试验。

结果

共识别出13篇符合先前既定检索策略的文章,所有文章均纳入综述。

结论

综述研究表明,内镜手术治疗椎管狭窄可对神经结构进行充分减压,从而缩短住院时间、加快恢复并取得良好的手术效果。

相似文献

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Surgical options for lumbar spinal stenosis.腰椎管狭窄症的手术治疗选择
Cochrane Database Syst Rev. 2016 Nov 1;11(11):CD012421. doi: 10.1002/14651858.CD012421.

本文引用的文献

6
[Advances in endoscopic technology for the treatment of thoracic spinal stenosis].[内镜技术治疗胸段脊髓狭窄的进展]
Zhongguo Gu Shang. 2019 Oct 25;32(10):971-974. doi: 10.3969/j.issn.1003-0034.2019.10.020.
7
Revision after spinal stenosis surgery.脊柱狭窄手术后的翻修。
Eur Spine J. 2020 Feb;29(Suppl 1):22-38. doi: 10.1007/s00586-020-06314-w. Epub 2020 Jan 29.

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