经皮椎间孔镜下椎间盘摘除术治疗70例腰椎间盘突出症的疗效评价  

Evaluation of therapeutic effect of percutaneous transforaminal endoscopic discectomy in the treatment of 70 cases of lumbar disc herniation

作　　者：赵辉 李德仁 ZHAO Hui LI Deren(the Second Department of Orthopedics, Changji Chinese Medicine Hospital in the Xinjiang Uygur Autonomous Region,Changji 831100,China the First Department of Orthopedics,Changji Chinese Medicine Hospital in the Xinjiang Uygur Autonomous Region, Changji 831100, China)

机构地区：[1]新疆维吾尔自治区昌吉州中医医院骨伤二科,新疆昌吉831100 [2]新疆维吾尔自治区昌吉州中医医院骨伤一科,新疆昌吉831100

出　　处：《中国现代医生》2017年第33期63-65,69,共4页China Modern Doctor

摘　　要：目的探究经皮椎间孔镜下椎间盘摘除术治疗腰椎间盘突出症的临床疗效。方法研究对象选取2015年6月~2017年6月间我院收治的140例腰椎间盘突出症患者,采用数字表法随机分为观察组和对照组各70例,观察组采用经皮椎间孔镜下椎间盘摘除术治疗,对照组采用微创经椎间孔腰椎融合术治疗,比较两组患者的手术时间、术中出血量、住院时间等手术指标,并比较治疗前后两组患者的功能障碍指数(ODI)、日本骨科学会评分(JOA),统计手术相关并发症。结果观察组患者的手术时间、术中出血量、住院时间均显著低于对照组,差异有统计学意义(P<0.05);治疗前两组患者的ODI、JOA评分比较无显著差异(P>0.05),治疗后观察组ODI、JOA评分改善程度均显著优于对照组,差异有统计学意义(P<0.05);两组患者均未出现明显的手术相关并发症。结论经皮椎间孔镜下椎间盘摘除术治疗腰椎间盘突出症的疗效确切,与微创手术相比对患者的创伤更小,术后症状改善更好,值得在临床上推广和应用。Objective To explore the clinical effect of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation. Methods 140 patients with lumbar disc herniation from June 2015 to June 2017 admitted in our hospital were randomly divided into observation group（n=70）and control group（n=70）, according to the number table method. The observation group was treated with percutaneous transforaminal endoscopic discectomy. The control group was treated with minimally invasive intervertebral foramen lumbar fusion. The operation time, intraoperatire blood loss and hospitalization time were compared between the two groups. And the dysfunction indexes（ODI）and the Japan Orthopedic Association score（JOA） were compared between the two groups before and after treatment. The surgery-related complications were counted. Results The operation time, intraoperative blood loss and hospitalization time of the observation group were significantly lower than those of the control group, and the difference was significant （P〈0.05）. There were no significant differences in the ODI and JOA scores between the two groups before treatment （P〉0.05）. After treatment, the improvement degree of ODI and JOA was significantly better than that of the control group, and the difference was significant（P〈0.05）. There was no obvious complication in the two groups. Conclusion Percutaneous transforaminal endoscopic discectomy for the treatment of lumbar disc herniation has exact effect. And the trauma of the patients with percutaneous transforaminal endoscopic discectomy is smaller compared with that of the minimally invasive surgery and the postoperative symptoms are better. The percutaneous transforaminal endoscopic discectomy is worthy of promotion and application.

关 键 词：骨科 腰椎间盘突出症 经皮椎间孔镜下椎间盘摘除术 经椎间孔腰椎融合术 

分 类 号：R687.3[医药卫生—骨科学]