经皮椎间孔镜下侧后路减压术对老年性腰椎管狭窄症治疗效果分析  

Effects of percutaneous transforaminal endoscopic posterior decompression on pain and dysfunction in elderly patients with lumbar spinal stenosis

作　　者：罗万荣 胡广询 易伟宏 王尔天 赖伟群 Luo Wanrong;Hu Guangxun;Yi Weihong;Wang Ertian;Lai Weiqun(Orthopaedics Department,Shenzhen Union Hospital of Huazhong University of Science and Technology,Shenzhen Guangdong 518052,China)

机构地区：[1]华中科技大学协和深圳医院骨二科,广东深圳518052

出　　处：《医药前沿》2020年第13期52-54,共3页Journal of Frontiers of Medicine

摘　　要：目的:探讨对老年性腰椎管狭窄症患者使用经皮椎间孔镜下侧后路减压术治疗效果。方法:选取我院于2017年3月-2019年7月收治的老年性腰椎管狭窄症患者98例,按随机数字表法分为A组(49例)、B组(49例)。A组行经皮椎间孔镜下侧后路减压术,B组行传统手术。对比两组围术期相关指标、疼痛程度、功能障碍程度。结果:A组术中失血量低于B组(12.54±2.68)mlvs(200.48±20.31)ml,住院时间、手术用时短于B组(4.23±1.24)dvs(9.24±3.21)d,(60.09±16.15)minvs(90.24±22.65)min,差异有统计学意义(P<0.05);术后两组视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分较术前均明显下降,且A组VAS、ODI评分低于B组(2.26±0.81)分vs(6.52±0.91)分,(11.05±3.52)分vs(19.42±2.59)分,差异有统计学意义(P<0.05)。结论:老年性腰椎管狭窄症患者接受经皮椎间孔镜下侧后路减压术治疗效果显著,可减轻手术创伤,减少失血量,减轻术后疼痛程度,缩短住院时间,缓解功能障碍,值得临床应用。Objective To investigate the effect of percutaneous endoscopic decompression of posterior decompression on elderly patients with lumbar spinal stenosis.Methods A total of 98 elderly patients with lumbar spinal stenosis treated in our hospital from March 2017 to July 2019 were selected and divided into group A(49 cases)and group B(49 cases)according to the random number table method.In group A,posterior decompression was performed through percutaneous foramen,while in group B,traditional operation was performed.The perioperative indexes,pain degree and dysfunction degree of the two groups were compared.Results The blood loss during operation in group A was lower than that in group B[(12.54±2.68)ml vs(200.48±20.31)ml],and the hospitalization time and operation time were shorter than those in group B[(4.23±1.24)d vs(9.24±3.21)d,(60.09±16.15)min vs(90.24±22.65)min],the difference was statistically significant(P<0.05).The postoperative visual analogue score(VAS)score and Oswestry dysfunction index(ODI)scores in the two groups were significantly lower than before surgery,and the VAS and ODI scores in group A were lower than those in group B[(2.26±0.81)points vs(6.52±0.91)points],[(11.05±3.52)points vs(19.42±2.59)points],with significant difference(P<0.05).Conclusion Patients with senile lumbar spinal stenosis who have undergone percutaneous transforaminal decompression with lateral posterior decompression have significant effects,which can reduce surgical trauma,reduce blood loss,reduce postoperative pain,shorten hospital stay,and relieve dysfunction,which is worth clinical Promotion.

关 键 词：老年性腰椎管狭窄症 功能障碍 经皮椎间孔镜下侧后路减压术 疼痛 

分 类 号：R681[医药卫生—骨科学]