司机腰椎间盘突出症患者微创手术治疗的临床效果及医疗花费评估  

Clinical effect and economic benefit evaluation of minimally invasive surgery for drivers with lumbar disc herniation

作　　者：王慧星[1] 韩晨阳 刘靖芷[1] 马文庭[1] 李全波[1] 霍小东[2] 史可梅[1] Wang Huixing;Han Chenyang;Liu Jingzhi;Ma Wenting;Li Quanbo;Huo Xiaodong;Shi Kemei(Pain Management Center,Second Hospital of Tianjin Medical University,Tianjin 300211,China;Department of Oncology,Second Hospital of Tianjin Medical University,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院疼痛治疗中心,300211 [2]天津医科大学第二医院肿瘤科,300211

出　　处：《中华劳动卫生职业病杂志》2020年第10期750-752,共3页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：天津市自然科学基金项目青年项目(18JCQNJC13100)。

摘　　要：目的探讨微创手术治疗职业司机腰椎间盘突出症的临床效果。方法于2015年6月1日至2018年12月30日,选择入院治疗的126例职业为司机的腰椎间盘突出症患者,依据治疗方式分为观察组(经皮椎间孔镜治疗,共59例患者)及对照组(常规保守治疗,共67例患者),回顾性分析两组患者在治疗前后的视觉模拟评分(VAS评分)、日本骨科协会评估治疗分数(JOA评分)、住院时间、下床时间、住院费用、复发率。计量资料用x±s表示,组间比较采用t检验,计数资料进行描述性分析。结果治疗前,两组患者的性别、年龄、VAS评分、JOA评分差异均无统计学意义(P>0.05)。治疗后,与对照组比较,观察组患者VAS评分较低、JOA评分较高、下床时间较短、平均住院时间减少、平均住院费用较高、6个月及1年后复发率均较低,差异均有统计学意义(P<0.05)。结论司机的腰椎间盘突出症采用经皮椎间孔镜疗法治疗较常规保守治疗的临床效果更好。Objective To investigate the clinical effect of minimally invasive surgery in the treatment of professional drivers with lumbar disc herniation.Methods 126 patients with lumbar disc herniation admitted to hospital from June 1,2015 to December 30,2018 were selected and divided into observation group(59 cases treated by percutaneous transforaminal endoscopy)and control group(67 cases treated with conventional conservative treatment)according to the treatment methods.The Visual Analogue Scale(VAS)and Japanese Orthopaedic Association Scores(JOA)before and after treatment were analyzed retrospectively.Length of stay,time out of bed,hospitalization expenses and recurrence rate were evaluated.The measurement data was expressed by x±s,the comparison between groups was performed by t test,and the count data were analyzed by descriptive analysis.Results Before treatment,there was no significant difference in gender,age,VAS score and JOA score between the two groups(P>0.05).After treatment,compared with the control group,the VAS score of the observation group was lower,the JOA score was higher,the time out of bed was shorter,the average hospitalization time was reduced,the average hospitalization cost was higher,and the recurrence rates after Six months and one year were lower in the observation group,the differences were statistically significant(P<0.05).Conclusion The clinical effect of percutaneous transforaminal endoscopic treatment is better than that of conventional conservative treatment for driver's lumbar disc herniation.

关 键 词：腰椎间盘突出症 腰痛 司机 椎间孔镜 保守治疗 

分 类 号：R687.3[医药卫生—骨科学]