经皮椎间孔镜在腰椎间盘突出症治疗中的应用价值分析  

Application value of percutaneous transforaminal endoscopy in the treatment of lumbar disc herniation

作　　者：刘建强[1] 郭义超[1] 梁东星 任路通 Liu Jianqiang;Guo Yichao;Liang(Dongxing,Ren Lutong The People's Hospital of Lianchi District,Baoding City/Orthopedic Hospital of Baoding City,Hebei Baoding 071000)

机构地区：[1]保定市莲池区人民医院/保定市骨科医院,河北保定071000

出　　处：《中国社区医师》2021年第22期27-28,共2页Chinese Community Doctors

摘　　要：目的:探讨经皮椎间孔镜技术(PELD)在腰椎间盘突出症(LDH)治疗中的应用价值。方法:2019年1月-2020年1月收治LDH患者106例,随机分为两组,各53例。甲组给予开放椎间开窗减压髓核摘除术治疗;乙组给予PELD治疗。比较两组治疗效果。结果:乙组术中出血量、手术切口长度、手术时间及住院时间均低于甲组,差异有统计学意义(P<0.05);乙组术后1个月及3个月Oswestry腰腿功能量表(ODI)评分、直腿抬高试验评分均低于甲组,差异有统计学意义(P<0.05);乙组并发症发生率低于甲组,差异有统计学意义(P<0.05)。结论:运用PELD治疗LDH,可减少术中出血量,减小手术切口长度,缩短手术及住院时间,改善腰椎功能,降低并发症发生率。Objective:To explore the application value of percutaneous endoscopic interlaminar discectomy(PELD)in the treatment of lumbar disc herniation(LDH).Methods:From January 2019 to January 2020,106 patients with LDH were selected and randomly divided into two groups with 53 cases in each group.Group A was treated with open intervertebral fenestration decompression and nucleus pulposus;Group B was treated with PELD.We compared the treatment effect of the two groups.Results:In group B,the intraoperative blood loss,incision length,operation time and hospital stay were lower than those in group A,the difference was statistically significant(P<0.05).In group B,one month and three months after operation,the scores of ODI and straight leg raising test were lower than those in group A,the difference was statistically significant(P<0.05).In group B,the incidence of complications was lower than that in group A,the difference was statistically significant(P<0.05).Conclusion:PELD treatment of LDH can reduce intraoperative blood loss,reduce the length of incision,shorten the operation and hospital stay,improve lumbar function and reduce the incidence of complications.

关 键 词：腰椎功能 腰椎间盘突出症 并发症 经皮椎间孔镜技术 

分 类 号：R687.3[医药卫生—骨科学]