不同年龄段患者椎间孔镜下腰椎间盘突出症疗效分析  

Analysis of curative effect of lumbar disc herniation under transforaminal endoscopy in patients of different ages

作　　者：李文升 冯良恩 张强 LI Wensheng;FENG Liangen;ZHANG Qiang(Department of Spinal Joint Surgery,Hezhou City Pepole􀆳s Hospital,Hezhou 542899,China)

机构地区：[1]贺州市人民医院脊柱骨关节外科,贺州542899

出　　处：《广州医药》2021年第2期73-76,115,共5页Guangzhou Medical Journal

基　　金：广西医药卫生科研课题(Z20190527)。

摘　　要：目的观察椎间孔镜下腰椎间盘突出症的近期疗效,分析不同年龄段对手术疗效的影响。方法收集120例腰椎间盘突出患者,分成A、B、C三个研究小组:A青年组(年龄≤44岁)、B中年组(44岁<年龄<65岁)、C老年组(年龄≥65岁)。以术前、术后1天、术后3月、术后6月为界限,分析患者的疼痛视觉模拟量表(VAS)评分,并计算相对应的腰椎Oswestry功能障碍指数;术后1年用改良Macnab标准评价疗效优良率。结果针对不同试验小组的VAS评分、ODI指数等进行对比分析:术后1天的对比差异不存在统计学意义(P>0.05);术后3个月、6个月比较差异有统计学意义(P<0.05),其中C组术后3月、6月VAS评分、ODI指数高于A、B组,差异有统计学意义(均P<0.05),A、B组间比较无统计学差异(P>0.05)。术后1年三组间疗效优良率比较无统计学差异(P>0.05)。结论不同年龄段患者椎间孔镜的近期疗效显著,中青年患者恢复快,中期疗效好。Objective To observe the short-term curative effect of transforaminal endoscopy for lumbar disc herniation,and to analyze the influence of different age on the curative effect.Methods 120 patients with lumbar disc herniation were collected,the study was divided into three groups:group A,group B and group C:group A(young adults,44 years or older),group B(44 years or older)and group C(65 years or older).The visual analogue scale(Vas)scores of the patients were analyzed and the corresponding Oswestry index of the lumbar spine was calculated according to the preoperative,1 day,3 months and 6 months postoperatively.A modified Macnab was used to evaluate the rate of excellency and good results 1 year after operation.Results The Vas score and Odi index of different groups were compared.There was no statistically difference at 1 day after operation(P>0.05).After 3 months and 6 months,there was statistically difference(P<0.05),among them,the VAS scores and Odi index of group C were higher than those of group B,the difference was statistically significant(P<0.05),there was no statistically difference between group A and group B(P>0.05).There was no statistically difference between the three groups in the first year after operation(P>0.05).Comparison of VAS score and ODI index among the three groups:there was no statistically difference at 1 day after operation(P>0.05);there was statistically difference at 3 months and 6 months after operation(P<0.05),among which VAS score and ODI index of group C were higher than those of group A and group B(all P<0.05),but there was no statistically difference between group A and group B(P>0.05).There was no statistically difference in the excellent and good rate among the three groups one year after operation(P>0.05).Conclusion The short-term curative effect of intervertebral foramina in patients of different ages is remarkable,the young and middle-aged patients recover quickly,and the medium-term curative effect is good.

关 键 词：椎间孔镜 腰椎间盘突出症 疗效 年龄 

分 类 号：R687.3[医药卫生—骨科学]