腰椎间盘突出症并腰椎管狭窄症应用椎间孔镜技术治疗的效果分析  

Analysis of the Effect of Lumbar Intervertebral Disc Herniation with Lumbar Spinal Stenosis Treated with Intervertebral Foramen Technique

作　　者：权宗军 QUAN Zong-jun(Department of Orthopaedics,Linyi Mental Health Center,Linyi,Shandong Province,276000 China)

机构地区：[1]临沂市精神卫生中心骨科,山东临沂276000

出　　处：《系统医学》2020年第5期64-66,共3页Systems Medicine

摘　　要：目的观察腰椎间盘突出症并腰椎管狭窄症应用椎间孔镜技术治疗的效果。方法选择2016年4月-2019年3月该院收治的腰椎间盘突出症并腰椎管狭窄症患者86例,随机分为PETD组和对照组,PETD组给予经皮椎间孔镜下腰椎间盘切除术治疗,对照组给予腰椎后路椎板小开窗椎管减压髓核切除术治疗,观察两组患者手术情况、VAS视觉模拟疼痛评分、ODI腰部评分及JOA腰椎疼痛评分。结果 PETD治疗组治疗后的VAS评分为(2.69±0.43)分,JOA评分为(22.64±2.77)分,ODI评分为(12.54±3.13)分;对照组治疗后的VAS评分为(2.13±0.32)分,JOA评分为(22.37±2.97)分,ODI评分为(12.73±3.09)分。两组患者VAS评分、JOA评分、ODI评分相比,差异有统计学意义(P<0.05)。PETD治疗组手术时间为(63.18±11.39)min,术中出血量为(27.41±4.37)mL,住院时间为(6.36±1.21)d。对照组手术时间为(88.13±13.06)min,术中出血量为(74.42±9.87)mL,住院时间为(7.12±1.42)d。两组患者手术时间、术中出血量及住院时间相比,差异有统计学意义(t=7.312、5.046、7.511,P<0.05)。结论腰椎间盘突出症并腰椎管狭窄症应用椎间孔镜技术治疗的效果明显,是一种临床应用价值较高的治疗方式。Objective To observe the effect of lumbar intervertebral disc herniation and lumbar spinal stenosis treated with intervertebral foramen technique. Methods A total of 86 patients with lumbar disc herniation and lumbar spinal stenosis admitted in the hospital from April 2016 to March 2019 were randomly divided into the PETD group and the control group. The PETD group was given a lumbar discectomy under a perforated endoscope surgical treatment, the control group was treated with posterior lumbar spinal canal decompression spinal decompression and nucleus pulpectomy, and the surgical status, VAS visual simulated pain score, ODI waist score and JOA lumbar pain score were observed in the two groups. Results The VAS score after treatment in the PETD treatment group was(2.69 ±0.43)points, the JOA score was(22.64±2.77)points, and the ODI score was(12.54±3.13)points;the control group’s VAS score was(2.13±0.32)points, JOA score was(22.37 ±2.97)points, and ODI score was(12.73 ±3.09)points. Compared with the two groups, the VAS score, JOA score, and ODI score were significantly different(P<0.05). The operation time of the PETD treatment group was(63.18±11.39)min, the intraoperative blood loss was(27.41±4.37)mL, and the hospital stay was(6.36±1.21)d. The control group had an operation time of(88.13±13.06)min, an intraoperative blood loss of(74.42±9.87) m L, and a hospital stay of(7.12±1.42)d. There were significant differences between the two groups in terms of surgical time, intraoperative blood loss, and length of hospital stay(t=7.312, 5.046, 7.511,P<0.05). Conclusion Lumbar intervertebral disc herniation and lumbar spinal stenosis can be treated effectively using the foraminal technique, and it is a clinically valuable treatment.

关 键 词：腰椎间盘突出症 腰椎管狭窄症 椎间孔镜技术 腰椎后路椎板小开窗椎管减压髓核切除术 

分 类 号：R687[医药卫生—骨科学]