单侧双通道内镜技术治疗游离型腰椎间盘突出症疗效分析  

Effect of unilateral dual-channel endoscopy on the recovery of lumbar spine function in patients with free lumbar disc herniation

作　　者：吴波 李玉前[1] 王震[1] WU Bo;LI Yuqian;WANG Zhen(Department of Spine Surgery,Nantong Third People’s Hospital,Jiangsu,Nantong 226006,China)

机构地区：[1]江苏省南通大学附属南通第三医院脊柱外科,226006

出　　处：《临床外科杂志》2022年第10期991-993,共3页Journal of Clinical Surgery

摘　　要：目的探讨单侧双通道内镜技术治疗游离型腰椎间盘突出症的疗效。方法前瞻性选择2020年10月~2021年9月我院收治的游离型腰间盘突出症病人93例。所有病人均接受单侧双通道内镜技术治疗。统计93例病人术中出血量、手术时间以及术后卧床时间,术后12个月采用改良MacNab疗效评定标准评估疗效,比较术前、术后1个月、术后12个月腰腿痛视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI),记录术后3个月病人并发症发生情况及术后12个月内复发率。结果手术时间、术中出血量、术后卧床时间分别为(82.35±10.61)分钟、(48.47±6.59)ml和(8.65±1.72)天。术后12个月,病人优良率为92.47%。术后12个月病人VAS评分、ODI低于术后1个月和术前,差异有统计学意义(P<0.05),术后1个月,病人的VAS评分、ODI低于术前,差异有统计学意义(P<0.05)。术后3个月,病人中并发症总发生率为6.45%。术后12个月,复发3例,复发率为3.23%。结论单侧双通道内镜技术治疗游离型腰椎间盘突出症疗效显著,可减轻病人腰腿痛,恢复腰椎功能。Objective To investigate the effect of unilateral dual-channel endoscopy on the recovery of lumbar spine function in patients with free lumbar disc herniation.Methods A total of 93 patients with free lumbar disc herniation who were admitted to the hospital from October 2020 to September 2021 were selected as the research objects.All patients received unilateral dual-channel endoscopic treatment.Surgery-related indicators of 93 patients(intraoperative blood loss, operative time, and postoperative bedtime) were counted.The modified MacNab efficacy evaluation standard was used to evaluate the efficacy 12 months after the operation.Visual analogue scale(VAS) and Oswestry dysfunction index(ODI) were compared before operation, 1 month after operation, and 12 months after operation.The incidence of complications within 3 months after the operation and the recurrence rate within 12 months after the operation were recorded.Results The operation time, intraoperative blood loss, and postoperative bed rest time of 93 patients were(82.35±10.61)min,(48.47±6.59)ml, and(8.65±1.72)d, respectively.At 12 months after operation, the excellent and good rate of 93 patients was 92.47%.At 12 months after operation, the VAS score and ODI of the patients were lower than those at 1 month after operation and before operation(P<0.05).One month after operation, the VAS score and ODI of the patients were lower than those before operation(P<0.05).At 3 months after surgery, the overall complication rate among 93 patients was 6.45%.At 12 months after surgery, 3 of the 93 patients had recurrence, and the recurrence rate was 3.23%.Conclusion The unilateral dual-channel endoscopy technique is effective in the treatment of free-type lumbar disc herniation, which can relieve the patient’s low back and leg pain, restore lumbar spine function.

关 键 词：单侧双通道内镜技术 游离型腰椎间盘突出症 腰椎功能 安全性 

分 类 号：R687.3[医药卫生—骨科学]