| 刘国萍,曾范晓,姜强,曹奇.Key-Hole技术治疗无明显影像学压迫的颈神经根性疼痛15例.[J].中南医学科学杂志.,2026,(1):75-78. |
| Key-Hole技术治疗无明显影像学压迫的颈神经根性疼痛15例 |
| 15 cases of cervical radicular pain without significant image compression treated by Key-Hole technique |
| 投稿时间：2025-03-23 修订日期：2025-10-27 |
| DOI：10.15972/j.cnki.43-1509/r.2026.01.017 |
| 中文关键词: 内窥镜 Key-Hole技术 颈椎 颈神经根性疼痛 |
| 英文关键词:endoscope Key-Hole cervical vertebra cervical radicular pain |
| 基金项目:湖南省卫健委一般项目(202104070060)；鄯善县科技局项目(2023009) 作者简介:刘国萍,硕士,副主任医师,研究方向为脊柱微创相关研究,E-mail为402900031@qq.com。通信作者曹奇,硕士,主任医师,研究方向为脊柱临床与基础研究,E-mail为caoqi69@163.com。 |
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| 中文摘要: |
| 目的观察经皮颈后路脊柱内镜下Key-Hole开窗探查减压术,治疗15例无明显影像学压迫的顽固性颈神经根性疼痛的疗效。 方法回顾性分析经皮颈后路脊柱内镜下Key-Hole开窗探查减压术治疗无明显影像学压迫的顽固性颈神经根性疼痛患者15例临床资料。观察患者手术时间、住院时间和术中出血量；采用视觉模拟评分法(VAS)、日本骨科协会(JOA)评分、颈椎关节活动度(ROM)和椎间隙高度评估手术效果。按照改良MacNab标准评定术后疗效优良率。 结果15例患者手术时间(77.47±7.88) min,住院时间(7.73±1.94) 天,术中出血量(22.67±4.78) mL。术后不同时间点VAS评分较术前均明显降低,而JOA评分明显升高(P＜0.05)；术后末次随访与术前的椎间隙高度、ROM差异均无显著性(P＞0.05)。术后疗效优良率为86.7%。 结论经皮颈后路脊柱内镜下Key-Hole技术具有手术时间短、创伤小、疗效显著等优点,可作为无明显影像学压迫的顽固性颈神经根性疼痛的一种微创的治疗手段。 |
| 英文摘要: |
| AimTo observe the therapeutic effect of percutaneous posterior cervical endoscopic Key-Hole fenestration exploration and decompression on 15 cases of intractable cervical radicular pain without significant imaging compression. MethodsClinical data of 15 patients with refractory cervical radicular pain without obvious imaging compression treated by percutaneous posterior cervical endoscopic Key-Hole fenestration and decompression surgery were retrospectively analyzed. The operation time, hospital stay and intraoperative blood loss of the patients were observed. The surgical outcomes were evaluated by the visual analogue scale (VAS) score, Japanese orthopaedic association (JOA) score, cervical range of motion (ROM) and intervertebral height. The excellent and good curative effect rate was evaluated according to the modified MacNab standard. ResultsFifteen patients had a surgical duration of (77.47±7.88) minutes, a hospital stay of (7.73±1.94) days, and intraoperative blood loss of (22.67±4.78) mL. At different time points after surgery, VAS scores were decreased significantly compared to preoperative levels, while JOA scores were increased significantly (P＜0.05); At the last follow-up after surgery, there was no significant difference in intervertebral height and ROM compared to preoperative levels (P＞0.05). The excellent and good postoperative efficacy rate was 86.7%. ConclusionThe Key-Hole technique under percutaneous cervical posterior endoscopic approach has the advantages of short surgical time, minimal trauma, and significant therapeutic effect. It can be used as a minimally invasive treatment for stubborn cervical nerve root pain without obvious imaging compression. |
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