探讨经皮脊柱内镜技术治疗椎间盘源性马尾综合征的临床效果  

Investigation of the Clinical Effect of Percutaneous Spinal Endoscopy in the Treatment of Discogenic Cauda Equina Syndrome

作　　者：罗思进 黄煜朗 卢长巍[1] 梁仁[1] LUO Si-jin;HUANG Yu-lang;LU Chang-wei;LIANG Ren(Department of Spine and Osteopathic Surgery,People's Hospital of Hechi City,Hechi,Guangxi,547000 China)

机构地区：[1]广西河池市人民医院脊柱关节骨病外科

出　　处：《中外医疗》2019年第11期51-53,56,共4页China & Foreign Medical Treatment

摘　　要：目的探讨经皮脊柱内镜技术治疗椎间盘源性马尾综合征的临床效果。方法方便选择该院30例椎间盘源性马尾综合征患者作为研究对象(收治时间为2016年1月—2018年11月),将其随机分成对照组和研究组,每组15例,对照组采用传统椎间盘切除术治疗,研究组采用经皮脊柱内镜技术治疗,对比两组患者手术时间、术中出血量、治疗前后的下腰痛、下肢疼痛评分、住院时间及术后并发症的发生率。结果下腰痛、下肢疼痛评分对比,两组治疗前无显著差异(P>0.05),治疗后,研究组患者下腰痛评分(6.3±0.7)分、下肢疼痛评分(2.7±0.5)分显著低于对照组(14.8±2.3)分、(4.9±0.7)分,研究组患者手术时间(52.4±10.2)min、住院时间(5.4±1.0)d显著短于对照组(103.6±21.5)min、(10.3±2.1)d,研究组患者术中出血量(61.3±11.4)mL、术后并发症发生率(6.7%)显著低于对照组(120.5±24.7)mL、(26.7%),两组对比差异有统计学意义(t=7.961,8.154,7.228,8.994,9.419,χ^2=7.329,P<0.05)。结论对椎间盘源性马尾综合征患者采用经皮脊柱内镜技术治疗,不仅具有手术时间短、微创、术后恢复快速等优势,还能有效改善患者下腰痛、下肢疼痛症状和降低其术后并发症的发生率,因此,其整体治疗效果显著,值得推广。Objective To investigate the clinical effect of percutaneous spinal endoscopy in the treatment of discogenic cauda equina syndrome. Methods Thirty patients with discogenic cauda equina syndrome in our hospital were convenient selected as subjects (from January 2016 to November 2018). They were randomly divided into control group and study group, 15 cases in each group. Traditional discectomy was performed in the control group. The study group was treated with percutaneous spinal endoscopy. The operation time, intraoperative blood loss, low back pain before and after treatment, lower limb pain score, hospitalization time and postoperative complications were compared between the two groups. Results There was no significant difference in low back pain and lower extremity pain scores between the two groups (P>0.05). After treatment, the lower back pain score (6.3±0.7)points and lower limb pain score (2.7±0.5)points were significantly lower in the study group than in the control group of (14.8±2.3) points,(4.9±0.7) points, the operation time (52.4±10.2)points min and the hospitalization time (5.4±1.0) d were significantly shorter in the study group than in the control group (103.6±21.5) min,(10.3±2.1)d, the intraoperative blood loss (61.3±11.4) mL and the postoperative complication rate (6.7%) were significantly lower in the study group than in the control group (120.5±24.7) mL,(26.7%). Statistically significant (t=7.961, 8.154, 7.228, 8.994, 9.419,χ^2=7.329, P<0.05). Conclusion Percutaneous spinal endoscopy in patients with discogenic cauda equina syndrome not only has the advantages of short operation time, minimally invasive, rapid postoperative recovery, but also can effectively improve the symptoms of low back pain, lower limb pain and lowering the incidence of post-complication, therefore, its overall therapeutic effect is significant and worth promoting.

关 键 词：经皮脊柱内镜技术 椎间盘源性马尾综合征 治疗 临床效果 下腰痛评分 

分 类 号：R4[医药卫生—临床医学]