腰椎后路两种内镜下治疗单节段腰椎间盘突出症的临床疗效比较分析  

Comparison of the clinical efficacy of lumbar posterior two kinds of endoscopy in the treatment of single segmental lumbar intervertebral disc protrusion

作　　者：吕会强 卫建民[1] 王小明[1] 段豪[1] LU Hui-qiang;WEI Jian-min;WANG Xiao-ming;DUAN Hao(Department of Spinal Bone Disease,Traditional Chinese Medical Hospital of Baoji,Baoji,Shanxi 721001,China)

机构地区：[1]宝鸡市中医医院脊柱骨病二科,陕西宝鸡721001

出　　处：《颈腰痛杂志》2018年第4期435-437,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的分析比较后路椎间孔镜下(percutaneous transforaminal endoscopic discectomy,PTED)与椎间盘镜髓核摘除术(microendoscopic discectomy,MED)治疗腰椎间盘突出症的临床疗效;方法回顾性分析2014-01-2016-01微创治疗的108例单节段腰椎间盘突出症患者,按手术方式分为PTED组和MED组,将两组患者的术前一般资料、术中透视次数、手术时间、术中出血量、术后卧床时间、术后住院时间进行比较,并对两组患者术前Odwestry功能障碍指数(Odwestrisabilityindex,ODI)评分、术后1年随访ODI评分以及术后腰部功能改善率进行比较;结果PTED组较MED组手术时间短,术中透视次数少,差异有统计学意义(P<0.05);PTED组在术中出血量、术后卧床时间、术后住院时间方面优于MED组(P<0.05);两组术后ODI评分较术前均明显改善(P<0.05),组间ODI评分、术后功能改善率差异无统计学意义(P>0.05);结论相比于MED,PTED具有更多优势,较适合腰椎间盘突出症患者的治疗。Objective To compare the clinical curative effect of percutaneous transforaminal endoscopic discectomy（PTED） and microendoscopic discectomy（MED） in the the treatment of lumbar disc herniation. Methods From January 2014 to January 2016, the clinical data of 108 patients with single segmental lumbar disc herniation received minimally invasive treatment were retrospectively analyzed. According to the operation method, the patients were divided into PTED group and MED group. The preoperative demographic data, intraoperative fluoroscopy times, operation time, intraoperative blood loss, postoperative bed time, postoperative hospitalization time were compared between the two groups. The Odwestry dysfunction index（ODI） score, ODI score at postoperative 1 year and postoperative lumbar disc herniation recurrence rate were compared between the two groups. Results Compared with MED group, PTED group had shorter operation time, less intraoperative fluoroscopy times, the differences were statistically significant（P〈0.05）. The amount of bleeding during operation, postoperative bed time, postoperative hospitalization time of PTED group were better than those of MED group （P〈0.05）. The postoperative ODI score of two groups were significantly improved compared with preoperation（P〈0.05）. The ODI score, postoperative recurrence rate had no significant differences between the two groups（P〉0.05）. Conclusion Compared with MED, PTED has more advantages, and is more suitable for the treatment of patients with lumbar disc herniation.

关 键 词：椎间孔镜技术 椎间盘镜髓核摘除术 腰椎间盘突出症 治疗疗效 

分 类 号：R681.53[医药卫生—骨科学]