【摘 要】
：
Endoscopic cervical foraminotomy is increasingly used for cervical spondylotic radiculopathy(CSR),but there is great concern about radiation exposure because of the heavy dependence of this surgical method on fluoroscopy.The objective of this study was to
【机 构】
：
Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science a
论文部分内容阅读
Endoscopic cervical foraminotomy is increasingly used for cervical spondylotic radiculopathy(CSR),but there is great concern about radiation exposure because of the heavy dependence of this surgical method on fluoroscopy.The objective of this study was to introduce in detail an advanced surgical technique of keyhole foraminotomy via a percutaneous posterior full-endoscopic approach as a treatment for CSR and investigate its clinical outcomes.We retrospectively reviewed 33 consecutive patients with CSR who underwent keyhole foraminotomy via a percutaneous posterior full-endoscopic approach from October 2015 to April 2017.The patients\'general characteristics,including operative time,blood loss,hospital stay,complications,and recurrence,were obtained.Clinical outcomes were evaluated using the visual analogue scale(VAS)for radicular pain,the neck disability index(NDI)for functional assessment,and the modified MacNab criteria for patient satisfaction.All operations were successfully performed(mean operation time,62 min),with no measurable blood loss or severe related complications.The mean follow-up was 25 months.The VAS and NDI scores were significantly improved as compared with those in the preoperative period(preoperative vs.final follow-up:7.6±1.6 vs.3.83±7.34 for VAS,P＜O.Ol;69.5％±10.5％vs.17.54％±13.40％for NDI,P＜O.Ol).Of the 33 patients,32(97.0％)had good-to-excellent global outcomes and all patients obtained symptomatic improvement.In conclusion,keyhole foraminotomy via a percutaneous posterior full-endoscopic approach is an efficient,safe,and feasible procedure for the treatment of CSR.Its simplified single-step blunt incision for localization appears to decrease radiation exposure risks.
其他文献
This study compared the clinical outcomes of the frozen-thawed cycles of high-quality cleavage embryos with low-quality blastocysts to provide a reference for the choice of frozen-thawed embryo transfer schemes and to improve clinical pregnancy rates.A re
X-Iinked congenital adrenal hypoplasia is characterised by the acute onset of primary adrenal insufficiency in infancy or early childhood and hypogonadotropic hypogonadism(HH)at puberty,arising from mutations of the nuclear receptor subfamily 0 group B me
李杲,金元四大家之一,补土派创始人.其著作《脾胃论》中记载很多关于针灸疗法的内容,并被高武整理、总结并命名为《东垣针法》.就《东垣针法》有关学术思想进行汇总与分析,分别从其理论基础、理论渊源和理论特点进行讨论,以期“东垣针法”能够更好的应用于临床,服务于针灸从业者.
The correlations between shear wave velocity(SWV)calculated from virtual touch tissue imaging quantification(VTIQ)technique and histological prognostic factors of invasive ductal carcinoma was investigated.A total of 76 breast tumors histologically confir
[目的]观察中药坐浴对巨大肛周脓肿术后创面的临床疗效.[方法]选取60例脓腔范围均跨越6个点位或以上的经括约肌间型肛周脓肿患者为研究对象,按随机数字表法将患者随机分成观察组和对照组,均行一期根治手术,其中观察组30例患者术后第1天开始应用中药坐浴,对照组30例患者术后第1天开始应用1.5％盐水坐浴.以术后第7、14天为节点观察两组病例,进行术后疼痛评分、创面肉芽形态评分及效果评价.[结果]观察组患者术后第7天总有效率、术后第14天显效率明显高于对照组(P<0.05),观察组术后第7、14天疼痛评分和术后第
The mutation status of KRAS is a significant biomarker in the prognosis of rectal cancer.This study investigated the feasibility of MRI-based radiomics in predicting the mutation status of KRAS with a composite index which could be an important criterion
利用激光熔覆技术在Cr12MoV钢上熔覆了Ni-Al复合涂层,研究了Al含量对熔覆层组织形貌及力学性能的影响.结果表明:当熔覆层Al含量大于14％时,开始有裂纹出现;熔覆层的显微组织中无明显夹杂物,存在硬质相Al2 O3及金属间化合物Ni3 Fe、Al Ni3;随着Al含量的增加,熔池边界逐渐消失,硬度、耐磨性呈先减小后增加的趋势.综合来看,Al含量为14％的熔覆层性能最佳.
This study examined anti-cancer compounds present in the chloroform extract of the Chinese medicine formula Shenqi San(CE-SS).Silica gel column chromatography,Sephadex LH-20,octadecylsilyl(ODS)column chromatography,and high performance liquid chromatograp
At the end of 2019,the novel coronavirus infection outbroke in Wuhan,Hubei Province.On Feb.2,2020,Wuhan,as the worst-hit region,began to build “shelter hospital” rapidly to treat patients with mild illness.The shelter hospital has multiple functions such
[目的]探究缺血性脑卒中血脂异常患者不同证候间脑卒中病因分型(TOAST分型)特点及Toll样受体4(TLR4)、转化生长因子-β激活的激酶1(TAK1)、核转录因子-κB p65(NF-κB p65)、白介素-6(IL-6)炎症因子水平差异.[方法]纳入2019年1—12月北京中医药大学东直门医院及北京中医药大学东方医院门诊及住院符合血脂异常及缺血性脑卒中诊断的患者170例及健康体检者10例,比较不同中医证候间患者一般资料(包括年龄、性别)、证候分布、脑卒中病因分型及血清TLR4、TAK1、NF-κB