摘要
目的观察经皮椎间孔镜手术对腰椎间盘突出症患者的临床疗效。方法便利选择2017年1月—2018年12月该院收治的腰椎间盘突出症患者100例,将其随机分为试验组和对照组:试验组50例,给予经皮椎间孔镜手术治疗;对照组50例,给予开窗式椎间盘髓核摘除术治疗。比较两组患者的手术时间、术中失血量、住院时间、术后1 d、术后1个月、术后6个月的视觉模拟疼痛评分(VAS)、术后的Oswestry功能障碍指数(ODI)和临床疗效。结果试验组的手术时间、术中失血量、住院时间、治疗后的VAS和ODI均显著低于对照组[(60.62±14.77)min vs(96.33±23.53)min(t=11.338,P=0.000);(36.48±5.35)mL vs(157.75±38.52)mL(t=18.719,P=0.000);(4.58±1.11)d vs(8.83±2.31)d(t=5.721,P=0.000);(3.21±1.10)分vs(6.38±2.35)分(t=4.468,P=0.000);(2.42±0.45)分vs(5.15±0.98)分(t=5.133,P=0.000);(1.27±0.12)分vs(2.57±0.36)分(t=4.144,P=0.000);(16.55±3.79)vs(30.13±6.18)(t=4.518,P=0.000)],治疗优良率显著高于对照组96%vs 70%(χ^2=11.980,P=0.000)。结论较之开窗式椎间盘髓核摘除术,经皮椎间孔镜手术用时少、患者的术中失血量低、住院时间少、疼痛和腰椎功能障碍程度低、临床疗效更佳。
Objective To observe the clinical effect of percutaneous transforaminal surgery on patients with lumbar disc herniation.Methods One hundred patients with lumbar disc herniation admitted to the hospital from January 2017 to December 2018 were convenient selected and randomly divided into the experimental group and the control group:50 patients in the experimental group were treated with percutaneous transforaminal surgery;50 patients in the control group were treated with fenestration of the nucleus pulposus.The operation time,intraoperative blood loss,hospitalization time,postoperative 1 day,postoperative 1 month,and postoperative 6 months visual analogue pain score(VAS)and postoperative Oswestry dysfunction index(ODI)and clinical efficacy were compared between the two groups.Results The operation time,intraoperative blood loss,hospitalization time,VAS and ODI in the experimental group after treatment were significantly lower than those in the control group[(60.62±14.77)min vs(96.33±23.53)min(t=11.338,P=0.000);(36.48±5.35)mL vs(157.75±38.52)mL(t=18.719,P=0.000);(4.58±1.11)d vs(8.83±2.31)d(t=5.721,P=0.000);(3.21±1.10)points vs(6.38±2.35)points(t=4.468,P=0.000);(2.42±0.45)points vs(5.15±0.98)points(t=5.133,P=0.000);(1.27±0.12)points vs(2.57±0.36)points(t=4.144,P=0.000);(16.55±3.79)vs(30.13±6.18)(t=4.518,P=0.000)],the treatment excellent rate was significantly higher than the control group 96%vs 70%(χ^2=11.980,P=0.000).Conclusion Compared with fenestration of the nucleus pulposus,the use of percutaneous transforaminal surgery is less,the patient's intraoperative blood loss is low,hospitalization time is low,pain and lumbar dysfunction are low,and clinical efficacy is better.
作者
郑国钦
ZHENG Guo-qin(Orthopedics Department,Fujian Provincial Geological Hospital,Fuzhou,Fujian Province,350008 China)
出处
《中外医疗》
2019年第27期78-80,共3页
China & Foreign Medical Treatment
关键词
腰椎间盘突出症
经皮椎间孔镜手术
疗效
Lumbar disc herniation
Percutaneous transforaminal surgery
Curative effect
