探讨经皮椎间孔镜髓核摘除术治疗腰间盘突出症的临床效果分析  

To Explore the Clinical Effect Analysis of Percutaneous Foraminal Endoscopic Nucleus Pulposus in the Treatment of Lumbar Disc Herniation

作　　者：董宽 DONG Kuan(Spine and Joint Surgery Center of Huludao Central Hospital,Huludao 125003,China)

机构地区：[1]葫芦岛市中心医院脊柱关节外科中心,辽宁葫芦岛125003

出　　处：《中国医药指南》2021年第27期17-19,23,共4页Guide of China Medicine

摘　　要：目的研究经皮椎孔镜髓核摘除术对椎间盘突出症治疗的临床效果。方法将2019年2月至2021年6月到我院经小切口椎板开窗髓核切除术治疗的33例腰椎间盘突出症患者设为对照组,另选同期到我院经皮椎孔镜髓核摘除术治疗的35例腰椎间盘突出症患者设为观察组,对两组患者的资料情况进行统计并做比较。结果①治疗后观察组的手术时间、术中出血量和术后卧床时间都比对照组少,差异有统计学意义(P<0.05)。②观察组(2例,占5.71%)术后并发症发生率明显比对照组(9例,占27.27%)低,差异有统计学意义(P<0.05)。③观察组(32例,占91.43%)经过治疗之后的治疗优良率明显比对照组(24例,占72.73%)更高,差异有统计学意义(P<0.05)。④观察组治疗之后的JOA评分和ODI评分都明显优于对照组,差异有统计学意义(P<0.05)。⑤观察组患者治疗后的疼痛明显更轻、睡眠质量和生活质量明显高于对照组,差异有统计学意义(P<0.05)。结论临床将经皮椎间孔镜髓核摘除术应用在腰椎间盘突出症治疗中能有效的优化手术指标,促进患者术后恢复,提升治疗的安全性,提高治疗的康复优良率,改善患者的腰椎功能,提高整体生活质量和睡眠质量,减轻疼痛,值得推荐。Objective To study the clinical effect of percutaneous foraminal nucleus extraction in the treatment of intervertebral disc herniation.Methods From February 2019 to June 2021,33 patients with lumbar disc herniation treated by small incision fenestration and nucleus pulposus in our hospital were set as the control group,and they were selected to go to our hospital during the same period 35 patients with lumbar disc herniation treated by nucleus pulposus were set as the observation group,and the data of the two groups of patients were counted and compared.Results(1)After treatment,the operation time,intraoperative blood loss and postoperative bed time of the observation group were less than those of the control group,the difference was statistically significant(P<0.05).(2)The observation group(2 cases,accounting for 5.71%)the incidence of postoperative complications was significantly lower than that of the control group(9 cases,accounting for 27.27%),and the difference was statistically significant(P<0.05).(3)Observation group(32 cases,accounting for 91.43%)after treatment the excellent and good rate was significantly higher than that of the control group(24 cases,accounting for 72.73%),and the difference was statistically significant(P<0.05).(4)The JOA score and ODI score of the observation group after treatment were significantly better than those of the control group,with differences Statistical significance(P<0.05).(5)The pain in the observation group was significantly lighter after treatment,and the quality of sleep and quality of life were significantly higher than those in the control group.The difference was statistically significant(P<0.05).Conclusion The clinical application of percutaneous foraminal endoscopic nucleus extraction in the treatment of lumbar disc herniation can effectively optimize surgical indicators,promote postoperative recovery of patients,improve the safety of treatment,improve the rate of recovery of treatment,and improve patients'health Lumbar function,improve the overall quality of

关 键 词：椎间孔镜髓核摘除术 小切口椎板开窗髓核切除术 腰椎间盘突出症 并发症 康复 

分 类 号：R681.53[医药卫生—骨科学]