腰椎内镜单纯减压治疗腰椎间盘突出症合并腰椎不稳的疗效分析  

Analysis of the Curative Effect of Lumbar Endoscopic Simple Decompression on the Treatment of Lumbar Disc Herniation Complicated with Lumbar Instability

作　　者：林少豪 何嘉辉 方志超 梁德[2] 吴智华 宋泽峰 王晓文 张鹏[1] 江晓兵[2] LIN Shaohao;HE Jiahui;FANG Zhichao;LIANG De;WU Zhihua;SONG Zefeng;WANG Xiaowen;ZHANG Peng;JIANG Xiaobing(Guangzhou University of Chinese Medicine,Guangzhou 510006,China;First Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510405,China)

机构地区：[1]广州中医药大学,广州510006 [2]广州中医药大学第一附属医院

出　　处：《中国中医骨伤科杂志》2023年第5期76-80,共5页Chinese Journal of Traditional Medical Traumatology & Orthopedics

摘　　要：目的:分析腰椎内镜单纯减压治疗腰椎间盘突出症合并腰椎不稳的临床效果。方法:回顾35例诊断为腰椎间盘突出症合并腰椎不稳并行腰椎内镜单纯减压手术治疗的患者,比较患者不同时间段临床评分及影像学指标。结果:35例患者术后日本骨科协会(JOA)评分显著高于术前;Oswestry功能障碍指数(ODI)评分、疼痛视觉模拟量表(VAS)评分、椎体前后滑移距离、椎体旋转角度显著低于术前,差异有统计学意义(P<0.05);术后1年椎间盘高度指数(DHI)、腰椎前凸角差异无统计学意义(P>0.05)。结论:对腰椎间盘突出症合并腰椎不稳的患者,可根据患者具体情况,选择腰椎内镜单纯减压。Objective:To evaluate the clinical efficacy of lumbar endoscopic simple decompression on the treatment of lumbar disc herniation with lumbar instability.Methods:35 patients diagnosed with lumbar disc herniation complicated with lumbar instability and treated with lumbar endoscopic decompression surgery alone were retrospectively reviewed.The clinical scores and imaging indexes of patients in different time periods were compared.Results:The Japanese orthopaedic association(JOA)score of 35 patients after operation was significantly higher than before operation.The Oswestry disability index(ODI)score,visual analogue scale(VAS)score,anteroposterior and posterior vertebral slip distance,and vertebral rotation angle were significantly lower than those before surgery,and the differences were statistically significant(P<0.05).There was no significant difference in disc height index(DHI)and lumbar lordosis angle one year after operation.Conclusion:For patients with lumbar disc herniation complicated with lumbar instability,endoscopic decompression of lumbar spine can be selected according to the specific conditions of the patients.

关 键 词：内镜 减压 腰椎间盘突出症 腰椎不稳 

分 类 号：R681.5[医药卫生—骨科学]