经皮椎间孔镜精准手术治疗腰椎管狭窄疗效研究  

A study on the effect of precise percutaneous transforaminal endoscopic surgery for lumbar spinal stenosis

作　　者：宋京涛[1] 刘利民[1] SONG Jing-tao;LIU Li-min(Second Department of Orthopaedic,Huabei Petroleum General Hospital,Cangzhou 062552,China)

机构地区：[1]华北石油管理局总医院骨二科

出　　处：《创伤与急危重病医学》2020年第1期32-34,共3页Trauma and Critical Care Medicine

摘　　要：目的探讨经皮椎间孔镜精准手术治疗腰椎管狭窄的疗效及安全性。方法选取2017年12月至2018年12月就诊的100例腰椎管狭窄患者为研究对象。按照随机数字表法分为常规组与观察组,每组50例。常规组接受传统手术治疗,观察组接受经皮椎间孔精准镜手术治疗,比较两组患者的疗效、手术情况及并发症发生率,记录患者术前、术后1周的疼痛视觉模拟评分及Oswestry功能障碍指数(ODI)。结果观察组患者的优良率为92.0%(46/50),明显高于常规组的76.0%(38/50),并发症发生率6.0%(3/50)明显低于常规组的24.0%(12/50),差异均有统计学意义(P<0.05)。观察组的手术时间、住院时间均短于常规组,术中出血量低于常规组,差异有统计学意义(P<0.05)。术前,两组患者的疼痛视觉模拟评分、ODI评分比较,差异无统计学意义(P>0.05);术后,两组患者的上述指标均低于术前,且观察组明显低于常规组,差异有统计学意义(P<0.05)。结论经皮椎间孔镜精准手术治疗腰椎管狭窄创伤小、恢复快、并发症少,能有效减轻患者的术后疼痛,提高患者的生活质量。Objective To investigate the efficacy and safety of precise percutaneous transforaminal endoscopic surgery for lumbar spinal stenosis.Methods A total of 100 patients with lumbar spinal stenosis who were admitted from December 2017 to December 2018 were selected as the study subjects.Patients were randomly divided into the conventional group and the observation group,with 50 cases in each group.The conventional group of patients received traditional surgery,while the observation group of patients received precise percutaneous transforaminal endoscopic surgery.The efficacy,surgical status and complication rate of the two groups were compared,and the preoperative and postoperative pain score and Oswestry dysfunction index(ODI)of the patients were recorded.Results The excellent and good rate in the observation group was 92.0%(46/50),significantly higher than that in the conventional group(76.0%,38/50),and the complication rate was 6.0%(3/50)significantly lower than that in the conventional group(24.0%,12/50),with statistically significant differences(P<0.05).The duration of operation and hospitalization in the observation group were shorter than that in the conventional group,and the intraoperative blood loss was lower than that in the conventional group,with statistically significant differences(P<0.05).Before surgery,there was no significant difference in pain score and ODI score between the two groups(P>0.05).After surgery,the above indicators in both groups were lower than before surgery,and the observation group was significantly lower than the conventional group(P<0.05).Conclusion Precise percutaneous transforaminal endoscopic surgery for lumbar spinal stenosis has less trauma,faster recovery and fewer complications,which can effectively reduce postoperative pain and improve the quality of life of patients.

关 键 词：结直肠肿瘤 术后肠梗阻 原因 对策腰椎管狭窄 经皮椎间孔镜精准手术 并发症 生活质量 

分 类 号：R684[医药卫生—骨科学]