改良TESSYS技术与椎间盘内加压注射治疗腰椎间盘突出症疗效比较  

Comparative study between the modified TESSYS technique and intradiscal compressive injection for the treatment of lumbar disc herniation

作　　者：殷乐[1] 元虎[1] 

机构地区：[1]延边大学附属医院脊柱外科,吉林延吉133000

出　　处：《延边大学医学学报》2016年第2期125-128,共4页Journal of Medical Science Yanbian University

摘　　要：[背景]比较改良TESSYS技术与椎间盘内加压注射治疗腰椎间盘突出症的近期疗效.[病例报告]采用前瞻性随机对照研究方法对2014年11月至2015年9月间诊断为单节段单侧腰椎间盘突出症的80例患者进行比较研究,按照抽签法将患者随机分为椎间盘内加压注射组(对照组)及改良TESSYS技术组(实验组),每组各为40例.给予两组患者相应治疗,并由未参加手术的脊柱外科医师负责随访,随访时间为手术后6个月.比较手术前后实验组与对照组患者的VAS,JOA评分、相关指数及术后最后1次随访时的改良MacNab标准优良率.两组随访过程中均未出现硬膜囊撕裂、术后椎间隙感染、神经根损伤等严重并发症.实验组手术时间为(79.50±18.29)min,对照组为(5.73±1.54)min.实验组与对照组术后VAS评分和JOA评分均较术前明显改善(P<0.05),实验组术后VAS评分和JOA评分均优于对照组(P<0.05);实验组优良率(90.0%)明显高于对照组(72.5%,P<0.05).[讨论]改良TESSYS技术与椎间盘内加压注射治疗腰椎间盘突出症均有较好的疗效;改良TESSYS技术短期疗效优于椎间盘内加压注射.BACKGROUND To compare the short-term therapeutic effects of the modified TESSYS technique and intradiscal compressive injection for lumbar disc herniation （LDH）. CASE REPORTS Prospective randomized controlled trial was adopted to compare 80 patients who were diagnosed as single segement and unilateral LDH from November 2014 to September 2015. The patients were randomly divided into intradiscal compressive injection group （control group） and the modified TESSYS technique group （experimental group）, 40 patients in each group. The spine surgeon who did not participate in the surgeries followed up the patients after the surgery for 6 months. VAS and JOA score were acquired from 1 to 6 months after surgery. The treatment effects were evaluated by the excellent rate of modified MacNab method at the final follow-up. All of the surgeries were performed successfully, no serious complications such as dural sac tear, intervertebral space infection and nerve root injury occurred during the follow-up in the two groups. The operation time was （79. 50±18.29 ）minutes for the experimental group and （5.73 ±1.54） minutes for the control group. The JOA and VAS scores were significantly improved after the surgery in the two groups （P 〈0.05 ）. However the postoperative VAS and JOA scores were superior in the experimental group than that in the control group. The excellent rate was 90.0% in the experimental group and 72.5% in the control group based on the MacNab method, there were significant differences between the two groups （P 〈0.05 ）. DISCUSSION Both the modified TESSYS technique and intradiscal compressive injection were effective in the treatment of lumbar disc herniation. The short-term outcome of the modified TESSYS technique was better than intradiscal compressive injection.

关 键 词：腰椎间盘突出症 改良TESSYS技术 椎间盘内加压注射 

分 类 号：R681.53[医药卫生—骨科学]