{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T06:19:13Z","timestamp":1772432353008,"version":"3.50.1"},"reference-count":80,"publisher":"Akademiai Kiado Zrt.","issue":"49","license":[{"start":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T00:00:00Z","timestamp":1702166400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2023,12,10]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> A minim\u00e1lisan invaz\u00edv technik\u00e1k ugr\u00e1sszer\u0171 fejl\u0151d\u00e9se\n                    nem hagyta \u00e9rintetlen\u00fcl az idegseb\u00e9szetet sem. Az \u00faj m\u0171t\u00e9ti beavatkoz\u00e1sok mind a\n                    koponya-, mind a gerincseb\u00e9szet vonatkoz\u00e1s\u00e1ban egyre sz\u00e9lesebb teret nyernek. Ez\n                    ut\u00f3bbi ter\u00fcleten l\u00e9tjogosults\u00e1gukat tov\u00e1bb fokozza az id\u0151s\u00f6d\u0151 t\u00e1rsadalom ig\u00e9nye,\n                    mely szinte \u00e1trajzolva a m\u0171t\u00e9ti statisztik\u00e1t, kor\u00e1bban alig vagy kev\u00e9s sz\u00e1mban\n                    v\u00e9gzett beavatkoz\u00e1sok egyre n\u00f6vekv\u0151 sz\u00e1m\u00e1hoz vezetett. A degenerat\u00edv\n                    elv\u00e1ltoz\u00e1sok okozta gerinccsatorna-sz\u0171k\u00fcletek ell\u00e1t\u00e1sa sor\u00e1n kezdetben\n                    alkalmazott, k\u00e9toldali felt\u00e1r\u00e1ssal j\u00e1r\u00f3 laminectomi\u00e1t felv\u00e1ltotta az egy\n                    oldalr\u00f3l elv\u00e9gezhet\u0151 \u201eover-the-top\u201d m\u0171t\u00e9t, majd az ut\u00f3bbi \u00e9vekben, a felt\u00e1r\u00e1s\n                    tov\u00e1bbi minimaliz\u00e1l\u00f3j\u00e1t seg\u00edt\u0151, a lehet\u0151 legkisebb j\u00e1rul\u00e9kos sz\u00f6vetroncsol\u00e1st\n                    biztos\u00edt\u00f3 technik\u00e1k, mint a tubusfelt\u00e1r\u00f3, majd a gerincendoszk\u00f3p haszn\u00e1lata.\n                        <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A jelen tanulm\u00e1ny c\u00e9lja, hogy az elm\u00falt \u00e9vek\n                    tapasztalatait felhaszn\u00e1lva bemutassa a k\u00e9t, minim\u00e1lisan invaz\u00edv technik\u00e1val,\n                    azaz a tubusfelt\u00e1r\u00f3val \u00e9s az endoszk\u00f3ppal v\u00e9gzett dekompresszi\u00f3s m\u0171t\u00e9teket, ezek\n                    eredm\u00e9nyeit, mintegy r\u00e1l\u00e1t\u00e1st adva a nemzetk\u00f6zi gerincseb\u00e9szeti trendekre.\n                        <jats:italic>M\u00f3dszer:<\/jats:italic> 2022. janu\u00e1r 1. \u00e9s 2022. december 31. k\u00f6z\u00f6tt 43\n                    beteget oper\u00e1ltunk ezen technik\u00e1val gerinccsatorna-sz\u0171k\u00fclet miatt. Ezek k\u00f6z\u00fcl 27\n                    esetben tubusfelt\u00e1r\u00f3t \u00e9s mikroszk\u00f3pot, m\u00edg 16 esetben endoszk\u00f3pos technik\u00e1t\n                    alkalmaztunk. Az eredm\u00e9nyek meg\u00edt\u00e9l\u00e9s\u00e9re a beavatkoz\u00e1s el\u0151tt \u00e9s ut\u00e1n vizu\u00e1lis\n                    anal\u00f3g sk\u00e1la \u00e9rt\u00e9ket vett\u00fcnk fel neurogen claudicatio, terhel\u00e9sre fokoz\u00f3d\u00f3\n                    der\u00e9kf\u00e1jdalom \u00e9s a nyugalmi gy\u00f6ki f\u00e1jdalmak meg\u00edt\u00e9l\u00e9s\u00e9re. Ennek alapj\u00e1n a\n                    betegeket n\u00e9gy csoportba osztottuk: \u201ev\u00e1ltozatlan\u201d (0\u201330%), \u201em\u00e9rs\u00e9kelt\u201d (31\u201350%),\n                    \u201ej\u00f3\u201d (51\u201375%) \u00e9s \u201ekiv\u00e1l\u00f3\u201d (76\u2013100%) min\u0151s\u00edt\u00e9st alkalmazva. K\u00fcl\u00f6n elemezt\u00fck a\n                    spondylolisthesissel kombin\u00e1lt sz\u0171k\u00fclet miatt t\u00f6rt\u00e9nt m\u0171t\u00e9teket. R\u00f6vid t\u00e1v\u00fa\n                    eredm\u00e9nyeinket a hospitaliz\u00e1ci\u00f3s napok \u00e1tlagos \u00e9rt\u00e9ke alapj\u00e1n \u00e9rt\u00e9kelt\u00fck.\n                        <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Mindh\u00e1rom vizsg\u00e1lt t\u00fcnet eset\u00e9ben \u201ekiv\u00e1l\u00f3\u201d\n                    posztoperat\u00edv eredm\u00e9nyt \u00e9rt\u00fcnk el, azaz a neurogen claudicatio 95,3%-ban, a\n                    der\u00e9kf\u00e1jdalom 72,4%-ban, m\u00edg a nyugalmi gy\u00f6ki t\u00fcnetek 86,9%-ban csaknem teljesen\n                    megsz\u0171ntek. \u201eJ\u00f3\u201d \u00e9s \u201em\u00e9rs\u00e9kelt\u201d eredm\u00e9nyt ennek megfelel\u0151en j\u00f3val kisebb\n                    ar\u00e1nyokban tapasztaltunk. A spondylolisthesis talaj\u00e1n kialakult\n                    gerinccsatorna-sz\u0171k\u00fclet dekompresszi\u00f3s m\u0171t\u00e9te ut\u00e1ni eredm\u00e9nyeket k\u00fcl\u00f6n\n                    \u00e9rt\u00e9kelt\u00fck, melyek alapj\u00e1n szint\u00e9n az esetek 92,8%-\u00e1ban a neurogen caludicatio,\n                    70%-\u00e1ban a der\u00e9kf\u00e1jdalom \u00e9s 100%-\u00e1ban a nyugalmi f\u00e1jdalom posztoperat\u00edv\n                    eredm\u00e9nye bizonyult \u201ekiv\u00e1l\u00f3nak\u201d. A k\u00f3rh\u00e1zban t\u00f6lt\u00f6tt napok sz\u00e1ma \u00e1tlagosan 3,7\n                    volt. <jats:italic>Megbesz\u00e9l\u00e9s \u00e9s k\u00f6vetkeztet\u00e9s:<\/jats:italic> Tapasztalataink egybev\u00e1gnak\n                    azokkal a nemzetk\u00f6zi eredm\u00e9nyekkel, amelyek szerint a tubusfelt\u00e1r\u00f3 \u00e9s az\n                    endoszk\u00f3p alkalmaz\u00e1s\u00e1val a minim\u00e1lisan invaz\u00edv technik\u00e1k eredm\u00e9nyei tov\u00e1bb\n                    jav\u00edthat\u00f3k mind r\u00f6vid, mind hossz\u00fa t\u00e1von. Az \u00faj technik\u00e1k bevezet\u00e9s\u00e9vel nemcsak\n                    jobb eredm\u00e9nnyel j\u00e1r\u00f3, kev\u00e9sb\u00e9 invaz\u00edv megk\u00f6zel\u00edt\u00e9st k\u00edn\u00e1lhatunk a betegeknek,\n                    de az elj\u00e1r\u00e1sok hat\u00e9kony volta miatt t\u00f6bb beteg ker\u00fclhet m\u0171t\u00e9tre, jelent\u0151sen\n                    ler\u00f6vid\u00edtve a v\u00e1rakoz\u00e1si id\u0151t. Orv Hetil. 2023; 164(49): 1926\u20131937.<\/jats:p>","DOI":"10.1556\/650.2023.32926","type":"journal-article","created":{"date-parts":[[2023,12,10]],"date-time":"2023-12-10T02:39:27Z","timestamp":1702175967000},"page":"1926-1937","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":4,"title":["Mikroszk\u00f3pos \u00e9s endoszk\u00f3pos vizualiz\u00e1ci\u00f3val v\u00e9gzett, minim\u00e1lisan invaz\u00edv dekompresszi\u00f3s gerincm\u0171t\u00e9tekkel kapcsolatos tapasztalataink"],"prefix":"10.1556","volume":"164","author":[{"given":"M\u00e1rton","family":"Bal\u00e1zsfi","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"Szappanos","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Lehelv\u00e1ri","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D\u00e1vid","family":"Kis","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e1l","family":"Barz\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Idegseb\u00e9szeti Klinika Szeged, Semmelweis u. 6., 6725 Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Waldrop R, Cheng J, Devin C, et al. 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