老年腰椎间盘突出症患者经皮椎间孔镜治疗50例的近中期效果观察  

The clinical effect of percutaneous transforaminal endoscopic discectomy in the treatment of 50 cases of elderly patients with lumbar intervertebral disc protrusion during recent mid-term

作　　者：杨君德[1] 刘建[1] 

机构地区：[1]青岛市第八人民医院,山东青岛266100

出　　处：《世界最新医学信息文摘》2014年第27期15-16,共2页World Latest Medicine Information Electronic Version

摘　　要：目的观察探究50例老年腰椎间盘突出症患者经皮椎间孔镜治疗的近中期疗效。方法选取2010至2013年于我院就诊的腰椎间盘突出患者100例，将此100例患者随机均分为两组，治疗组行PETD治疗，对照组行传统的手术治疗，观察近中期效果。结果治疗组手术时间、术中出血量、住院时间以及围手术期手术VAS评分均显著低于手术治疗，且差异有统计学意义，短期治疗效果明显。两组患者术后7天的VAs评分均显著低于术前水平，差异有统计学意义，且治疗组术后各时间段的腰腿疼痛评分以及神经功能恢复均优于对照组，中期治疗效果亦较好。结论经皮椎间孔镜治疗老年腰椎间盘突出症患者具有手术伤害性低、术后恢复快、疗效明显等优点，近中期疗效均显著，值得临床推广应用。Objective to investigate recent mid-term efficacy of percutaneous transforaminal endoscopic discectomy in treatment of 50 cases of elderly patients with lumbar intervertebral disc protrusion. Methods 100 patients with lumbar intervertebral disc protrusion selected from 2010 to 2013 in our hospital were randomly divided into two groups. treatment group underwent Petd therapy, while the control group underwent conventional surgery. the recent mid-term effects were observed. Results in the treatment group, the operation time, length of hospital stay and perioperative surgical Vas scores were significantly lower than that in control group, and the difference was statistically significant. Conclusion percutaneous transforaminal endoscopic discectomy in treatment of elderly patients has the advantages of low surgical injury, quick recovery and significant efficacy. And recent mid-term efficacy was significant. It is worthy of clinical application.

关 键 词：腰椎间盘突出症 椎间孔镜 老年 

分 类 号：R684[医药卫生—骨科学]