经皮脊柱内镜手术在慢性腰腿痛治疗中的临床研究  

Clinical study of percutaneous endoscopic spine surgery in the treatment of chronic low back and leg pain

作　　者：杨健胜[1] 吴焯鹏[1] 罗青 吴江良 YANG Jian-sheng;WU Zhuo-peng;LUO Qing(Kaiping Central Hospital,Kaiping 529300,China)

机构地区：[1]开平市中心医院,529300

出　　处：《中国实用医药》2022年第9期53-55,共3页China Practical Medicine

基　　金：江门市科技计划项目(项目编号:江科[2018]132),项目名称:脊柱内镜技术在治疗慢性腰腿痛疾病的临床研究。

摘　　要：目的观察经皮脊柱内镜手术在慢性腰腿痛治疗中的临床效果。方法40例慢性腰腿痛患者,随机分为对照组和脊柱内镜组,每组20例。脊柱内镜组患者采用经皮脊柱内镜手术治疗,对照组患者采用传统后路开放手术治疗。比较两组患者临床指标(手术创伤大小、手术时间、出血量、卧床时间及住院时间)、临床疗效及并发症发生情况。结果脊柱内镜组患者的手术创伤大小(1.43±0.27)cm、手术时间(54.13±6.57)min、卧床时间(0.83±0.37)d及住院时间(7.96±3.64)d均短于对照组的(6.76±0.78)cm、(75.76±7.98)min、(13.45±2.68)d、(22.84±5.16)d,出血量(15.63±3.83)ml少于对照组的(59.86±4.71)ml,差异具有统计学意义(P<0.05)。脊柱内镜组患者的治疗优良率为100.00%,高于对照组的80.00%,差异具有统计学意义(P<0.05)。脊柱内镜组患者的并发症发生率为0,低于对照组的25.00%,差异具有统计学意义(P<0.05)。结论慢性腰腿痛患者接受经皮脊柱内镜手术治疗,具有创伤小、住院时间短、术后恢复快、疗效确切等优势。Objective To observe the clinical effect of percutaneous endoscopic spine surgery in the treatment of chronic low back and leg pain.Methods A total of 40 patients with chronic low back and pain were randomly divided into control group and spinal endoscopy group,with 20 cases in each group.Patients in the spinal endoscopy group were treated with percutaneous endoscopic spinal surgery,and patients in the control group were treated with traditional posterior open surgery.The clinical indicators(surgical trauma size,operation time,blood loss,bed rest time and hospitalization time),clinical efficacy,and complications were compared between the two groups.Results The surgical trauma size(1.43±0.27)cm,operation time(54.13±6.57)min,bed rest time(0.83±0.37)d and hospitalization time(7.96±3.64)d in the spinal endoscopy group were all shorter than(6.76±0.78)cm,(75.76±7.98)min,(13.45±2.68)d,and(22.84±5.16)d in the control group,and the blood loss(15.63±3.83)ml was less than(59.86±4.71)ml in the control group.All the differences were statistically significant(P<0.05).The excellent and good rate in the spinal endoscopy group was 100.00%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).The complication rate in the spinal endoscopy group was 0,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Percutaneous endoscopic spine surgery for patients with chronic low back and leg pain has the advantages of less trauma,short hospitalization time,rapid postoperative recovery and definite efficacy.

关 键 词：脊柱内镜技术 慢性腰腿痛 临床效果 

分 类 号：R687.3[医药卫生—骨科学]