经皮椎间孔镜与椎板开窗术治疗腰椎间盘突出症的短期临床疗效分析  

Short-term effectiveness analysis of percutaneous transforaminal endoscopy and intervertebral fenestration in the treatment of lumbar disc herniation

作　　者：靳丹[1] JIN Dan(Department of Orthopedics,the Second People's Hospital of Jiaozuo,Jiaozuo 454000,China)

机构地区：[1]焦作市第二人民医院

出　　处：《腹腔镜外科杂志》2019年第7期550-553,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨经皮椎间孔镜与椎板开窗术治疗腰椎间盘突出症的短期临床疗效。方法:根据纳入与排除标准,选取2016年1月至2017年12月行经皮椎间孔镜手术治疗的30例腰椎间盘突出症患者作为观察组,选择同期30例行椎板开窗术的腰椎间盘突出症患者作为对照组。对比分析两组临床治疗情况及预后情况。结果:观察组疗效优良率为93.3%,与对照组(90%)相比差异无统计学意义(P>0.05);观察组手术时间[(55.21±0.21)min vs.(71.24±0.15)min]、术中出血量[(14.23±0.12)mL vs.(41.23±2.51)mL]、切口长度[(0.71±0.15)cm vs.(5.72±0.12)cm]、住院时间[(4.78±0.35)d vs.(8.11±0.16)d]优于对照组,差异有统计学意义(P<0.05)。治疗前,观察组VAS、SF-36、ODI分值依次为(7.11±0.21)分、(51.22±0.24)分、(32.02±0.25)分,与对照组[(7.15±0.15)分、(51.02±0.92)分、(33.10±0.21)分]相比差异无统计学意义(P>0.05);治疗后,观察组VAS、ODI分值依次为(0.24±0.11)分、(1.54±0.21)分,低于参照组[(0.38±0.10)分、(2.12±0.25)分];观察组SF-36为(82.31±0.22)分,高于参照组[(77.13±0.15)分],差异有统计学意义(P<0.05)。结论:应用经皮椎间孔镜手术治疗腰椎间盘突出症手术创伤小,术后患者康复快,疗效与椎板开窗术相近。Objective:To explore the short-term efficacy of percutaneous transforaminal endoscopy and intervertebral fenestration in the treatment of lumbar disc herniation.Methods:Thirty patients with lumbar disc herniation were selected from Jan.2016 to Dec.2017 according to the inclusion and exclusion criteria,and were treated with percutaneous transforaminal endoscopy(observation group).Another 30 patients with lumbar disc herniation were selected at the same time period as control group and intervertebral fenestration was performed.The clinical treatment and prognosis of the two groups were analyzed and compared.Results:The excellent and good rate of the observation group was 93.3%,which was not significantly different from the 90%of the control group(P>0.05).The operation time of the observation group was(55.21±0.21)min,which was shorter than that of the control group(71.24±0.15)min,and the difference was statistically significant(P<0.05).The operative blood loss in the observation group was(14.23±0.12)mL,which was shorter than that in the control group(41.23±2.51)mL.The incision length of the observation group was(0.71±0.15)cm,which was shorter than that of the control group(5.72±0.12)cm with statistically significant difference(P<0.05).The hospital stay in the observation group was(4.78±0.35)d,which was shorter than(8.11±0.16)d in the control group(P<0.05).VAS,SF-36 and ODI scores of the observation group before treatment were(7.11±0.21),(51.22±0.24)and(32.02±0.25),respectively,which were not significantly different from those of the control group(7.15±0.15),(51.02±0.92)and(33.10±0.21).After treatment,VAS and ODI scores of the observation group were(0.24±0.11)and(1.54±0.21),respectively,which were lower than(0.38±0.10)and(2.12±0.25)of the control group.After treatment,the SF-36 of the observation group was(82.31±0.22),and higher than that of the control group(77.13±0.15),and the difference was statistically significant(P<0.05).Conclusions:Percutaneous transforaminal endoscopy is mini-invasive with

关 键 词：椎间盘移位 椎板开窗术 经皮椎间孔镜 治疗结果 

分 类 号：R681.5[医药卫生—骨科学]