内窥镜手术治疗椎管狭窄:随机临床试验的综合回顾。

IF 0.5 4区 医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2025-01-10 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243206e278913
Rafael Augusto da Silva Aparício, Rodrigo Freitas Maringoni de Oliveira, Felipe de Almeida Pinto, Carlos Gorios, Lorran Azevedo Zanon, Alessandra Masi
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引用次数: 0

摘要

背景:椎管狭窄是指椎管狭窄,可产生继发于脊髓损伤本身甚至脊髓根受累的临床症状。传统的开放性手术治疗椎管狭窄具有较高的创伤性和风险性,随着手术技术的发展,内镜手术已被广泛应用于椎管狭窄的治疗,取得了良好的微创治疗效果。目的:回顾内镜下矫正椎管狭窄的相关文献。方法:这是一篇综合文献综述,使用以下搜索策略调查PUBMED数据库:脊柱[标题]、狭窄[标题]和外科[标题]。只有最近10年发表的随机临床试验被纳入样本。结果:共有13篇文章符合先前建立的搜索策略,所有这些文章都被纳入综述。结论:经复习的研究表明,内镜下手术矫正椎管狭窄能充分减压神经元件,住院时间短,恢复快,手术效果好。证据水平IV,来自描述性(非实验性)或定性研究的证据。
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ENDOSCOPIC SURGERY FOR TREATING SPINAL STENOSIS: AN INTEGRATIVE REVIEW OF RANDOMIZED CLINICAL TRIALS.

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. Level of Evidence IV, evidence from descriptive (non-experimental) or qualitative studies.

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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
期刊最新文献
ASSESSMENT OF SATISFACTION IN PATIENTS UNDERGOING SURGICAL TREATMENT BY THE WALANT TECHNIQUE. ENDOSCOPIC SURGERY FOR TREATING SPINAL STENOSIS: AN INTEGRATIVE REVIEW OF RANDOMIZED CLINICAL TRIALS. EPIDEMIOLOGICAL PROFILE OF PATIENTS WITH ANKLE FRACTURE TREATED IN A TERTIARY LEVEL HOSPITAL. EVALUATION OF IDIOPATHIC SCOLIOSIS IN SUBTYPES OF PECTUS EXCAVATUM AND CARINATUM. GAIT ASSESSMENT IN ANKLE FRACTURES WITH SYNDESMOSIS LESIONS UNDERGOING SURGERY.
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