摘要
目的探讨经皮椎间孔镜髓核摘除术治疗腰椎间盘突出症患者的临床效果。方法将120例腰椎间盘突出症患者按照手术方案不同分为研究组(n=60,经皮椎间孔镜髓核摘除术)与对照组(n=60,小切口椎板开窗式髓核摘除术)。比较两组的临床疗效。结果两组的手术优良率比较,差异无统计学意义(P>0.05)。术后当日、术后7 d,研究组的血清PGE2、MMP-3、Cor水平均低于对照组(P<0.05)。术后3个月,研究组的NRS、ODI评分均低于对照组(P<0.05)。结论经皮椎间孔镜髓核摘除术治疗腰椎间盘突出症患者的临床效果显著,可有效减轻患者机体创伤反应,缓解术后疼痛,改善其腰椎功能。
Objective To investigate the clinical effect of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar intervertebral disc herniation.Methods A total of 120 patients with lumbar intervertebral disc herniation were divided into study group(n=60,percutaneous transforaminal endoscopic discectomy)and control group(n=60,small incision laminar discectomy)according to the different operation plan.The clinical effects of the two groups were compared.Results There was no significant difference in the excellent and good rate of operation between the two groups(P>0.05).On the day after operation and 7 days after operation,the levels of serum PGE2,MMP-3 and Cor in the study group were lower than those in the control group(P<0.05).Three months after operation,the NRS and ODI scores in the study group were lower than those in the control group(P<0.05).Conclusion Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar intervertebral disc herniation has significant clinical effect,it can effectively reduce the body trauma response,relieve postoperative pain and improve the lumbar function of patients.
作者
李卫
王占魁
侯东峰
朱朝利
LI Wei;WANG Zhankui;HOU Dongfeng;ZHU Chaoli(Orthopaedics Department,Tangcheng Hospital of Xi'an,Xi'an 710016;Orthopaedics Department,Changqing Oilfield Staff Hospital,Xi'an 710200,China)
出处
《临床医学研究与实践》
2020年第22期78-80,共3页
Clinical Research and Practice
关键词
经皮椎间孔镜髓核摘除术
小切口椎板开窗式髓核摘除术
腰椎间盘突出症
percutaneous transforaminal endoscopic discectomy
small incision laminar discectomy
lumbar intervertebral disc herniation
