经皮椎间孔镜髓核摘除治疗腰椎间盘突出症的近期效果观察  

Percutaneous intervertebral foramen lens removal of nucleus pulposus in the treatment of lumbar intervertebral disc protrusion effect observed recently

作　　者：王用通 Wang Yongtong(Department of orthopedics, Fengxian County TCM Hospital of Xuzhou city of Jiangsu Province,Xuzhou,Jiangsu, 221700,China)

机构地区：[1]江苏省徐州市丰县中医医院骨科,江苏徐州221700

出　　处：《当代医学》2018年第15期62-64,共3页Contemporary Medicine

摘　　要：目的探讨腰椎间盘突出症通过经皮椎间孔镜髓核摘除展开治疗的近期疗效。方法对80例2015年12月～2017年9月在本院接受治疗的腰椎间盘突出症患者展开分组研究,43例通过椎间孔镜髓核摘除展开治疗为镜下组,37例通过小切口开窗术展开治疗为开窗组,对比两组治疗效果。结果镜下组、开窗组手术用时分别为(89.5±12.4)min、(86.6±11.8)min,差异无统计学意义;镜下术中失血(43.0±8.6)ml,比开窗组的(65.7±7.5)少,镜下组切口(2.1±0.2)cm,比开窗组的(5.5±0.8)cm小,镜下组住院(11.7±2.1)d,较开窗组的(19.7±2.4)d短,差异有统计学意义(P<0.05);两组T_2、T_3时评分均显著比T_1高,差异有统计学意义(P<0.05),T_1、T_2、T_3时组间对比,差异无统计学意义;镜下组总有效率是97.67%,和开窗组的97.30%对比,差异无统计学意义。结论对于腰椎间盘突出症的治疗,经皮椎间孔镜髓核摘除可实现与小切口开窗术相当的效果,但通过经皮椎间孔镜髓核摘除展开治疗创伤更小、术后恢复更快。Objective To investigate the short-term therapeutic effect of lumbar disc herniation through the treatment of percutaneous transforaminal nucleus pulposus dissection. Methods A total of 80 patients with lumbar disc herniation who were treated in our hospital from December 2015 to September 2017 were divided into groups. Forty-three cases were treated by transforaminal nucleus pulposus removal and treated as microsurgery group, 37 cases were treated with small incisions. The fenestration was performed to open the window group and the treatment effects of the two groups were compared. Results The time of operation in the sub-mirror group and the window group was（89.5±12.4） min and（86.6±11.8） min,respectively; the difference was not statistically significant; the blood loss was（43.0±8.6） ml in the endoscopic surgery, which was higher than that in the open window group（65.7±7.5） less, microscopic incisions（2.1±0.2） cm, smaller than（5.5±0.8） cm in the open window group, in the microscopic group（11.7±2.1） days, compared with the open group（19.7±2.4））d was short, the difference was statistically significant; the scores of both groups at T2 and T3 were significantly higher than T1, and the difference was statistically significant. There was no significant difference between groups at T1,T2, and T3; The efficiency was 97.67% compared with 97.30% in the window group. The difference was not statistically significant. Conclusion For the treatment of lumbar disc herniation, percutaneous transforaminal nucleus pulposus removal can achieve the same effect as small incision fenestration. However, percutaneous transforaminal nucleus pulposus dissection is used to treat less traumatic and postoperative recovery. Faster.

关 键 词：腰椎间盘突出症 椎间孔镜 髓核摘除 

分 类 号：R687.3[医药卫生—骨科学]