经皮椎间孔镜下神经根松解减压术治疗腰椎间盘突出症疗效分析  

Analysis of Curative Effect of Percutaneous Transforaminal Endoscopic on Lumbar Disc Herniation by Nerve Root Decompression

作　　者：董西安 张子璞 刘兆斌 刘元涛 杨倩倩 

机构地区：[1]山东省临沂市中心医院,山东临沂2764000

出　　处：《中外医疗》2017年第25期72-74,共3页China & Foreign Medical Treatment

摘　　要：目的探讨经皮椎间孔镜下神经根松解减压术治疗腰椎间盘突出症临床应用效果。方法方便选取该院特定区间(2015年12月—2016年12月)收治的腰椎间盘突出症患者(n=92)作为该次研究对象,经单双数字法(入院就诊顺序)将该次入选的腰椎间盘突出症患者(n=92)随机均分为研究组(n=46)、对照组(n=46)。研究组给予经皮椎间孔镜下神经根松解减压术,对照组实施传统椎板开窗手术。记录两组腰椎间盘突出症患者手术情况、手术前后疼痛程度、腰椎功能、Cobb角、腰椎前凸角等指标变化情况。结果研究组出血量(13.24±3.41)m L、切口长度(7.24±0.13)mm、住院时间(5.69±0.67)d均较对照组[出血量(53.46±6.77)m L、切口长度(43.25±4.96)mm、住院时间(10.27±1.97)d]显著减少。研究组手术时间(83.54±16.52)min显著长于对照组[手术时间(42.36±8.99)min],数据对比差异有统计学意义(P<0.05);治疗前、后两组腰椎间盘突出症患者Cobb角、腰椎前凸角、Oswestry指数、VAS评分等指标对比均差异无统计学意义(P>0.05),但各组治疗后上述指标均较治疗前显著改善(P<0.05)。结论应用经皮椎间孔镜下神经根松解减压术治疗腰椎间盘突出症可获得更为理想的治疗安全性,对保障患者疗效、预后均具有积极意义。Objective This paper tries to investigate the effect of percutaneous transforaminal endoscopic on lumbar disc herniation by nerve root decompression. Methods 92 cases of patients with lumbar disc herniation during the specific interval from December 2015 to December 2016 were conveniently selected as the research objects and equally divided into the study group and the control group according to the digital method(single and double admission order of treatment), with 46 cases in each group. The study group received percutaneous transforaminal endoscopic decompression of the nerve root method; the control group received traditional laminectomy surgery. The operation situations, the degree of pain, lumbar function, Cobb angle, lumbar lordosis angle of the two groups of lumbar intervertebral disc hernia of patients before and after surgery were observed. Results The amount of bleeding was(13.24±3.41)m L, the length of the incision of(7.24±0.13) mm,hospitalization time of(5.69±0.67) days in the study group, lower than those in the control group of(53.46±6.77)m L,(43.25±4.96) mm,(10.27±1.97) days. The operative time in the study group was(83.54±16.52) minutes, significantly longer than that of the control group of(42.36±8.99) minutes, after data comparison,the difference was statistically significant(P<0.05); there were no significant differences in Cobb angle, lumbar lordosis, Oswestry index, VAS score index before and after the treatment in the two groups of patients with lumbar disc herniation(P>0.05), but the above indexes after treatment were significantly improved(P<0.05). Conclusion The application of percutaneous transforaminal endoscopic decompression of the nerve root in the treatment of lumbar disc herniation can obtain more ideal safety, which has positive significance in ensuring the treatment, curative effect and prognosis.

关 键 词：腰椎间盘突出症 经皮椎间孔镜 神经根松解减压术 临床治疗效果 

分 类 号：R687.3[医药卫生—骨科学]