采用脊柱微创手术方法治疗腰椎间盘突出症的临床效果分析  

Clinical Effect Analysis of Using Minimally Invasive Spine Surgery Method for Lumbar Disc Herniation

作　　者：郭高升 贺海怿 张凯[1] 聂富祥[1] 李赛 董晨 Guo Gaosheng;He Haiyi;Zhang Kai(Spine Surgery Department,Sanmenxia Central Hospital,Sanmenxia,Henan,457000,China)

机构地区：[1]三门峡市中心医院脊柱外科,河南三门峡472000

出　　处：《黑龙江医学》2023年第14期1696-1698,共3页Heilongjiang Medical Journal

基　　金：河南省科技厅(河南省科技攻关)项目(192102310387)。

摘　　要：目的:分析采用脊柱微创手术方法治疗腰椎间盘突出症的临床治疗效果,以期进一步提高疾病治疗效果。方法:选取2018年11月—2021年11月三门峡市中心医院收治的100例腰椎间盘突出症患者作为研究对象。将所有腰椎间盘突出症患者采用随机法分为两组,每组各50例。观察组采用脊柱微创手术—椎间孔镜手术,参照组采用常规治疗方法——髓核单摘术。观察并分析两组腰椎间盘突出症患者术前及术后的疼痛程度、腰椎功能情况、住院时间、手术时间、术中出血量、恢复正常时间以及并发症发生率。结果:观察组患者住院时间、手术时间、恢复正常时间与参照组比较均更短,术中出血量更少,差异有统计学意义(t=8.310、3.453、23.011、11.711,P<0.05);两组患者并发症比较,差异有统计学意义(χ^(2)=5.005,P<0.05);治疗后,第1 d、1个月观察组患者ODI评分、VAS评分与参照组比较均更低,差异有统计学意义(t=5.564、3.348;6.687、17.694,P<0.05)。结论:在腰椎间盘突出症患者治疗过程中采用脊柱微创手术—椎间孔镜手术,可以有效改善患者疼痛症状、促进功能恢复、且并发症发生率较低。Objective:To analyze the clinical treatment effect of using minimally invasive spine surgery method for lumbar disc herniation in order to further improve the treatment effect of the disease.Methods:100 patients with lumbar disc herniation admitted to the hospital from November 2018 to November 2021 were selected as the study population and divided into two groups of 50 cases each using the randomization method.The observation group used minimally invasive spine surgery-intervertebral foraminoscopy,and the reference group used conventional treatment method-unitary nucleus pulposus extraction.The preoperative and postoperative pain level,lumbar spine function,hospitalization time,operation time,intraoperative bleeding,recovery time and complication rate of patients with lumbar disc herniation in both groups were observed and analyzed.Results:The observation group had shorter hospital stay,operation time,and return to normal time compared with the reference group,and less intraoperative bleeding,with statistically significant differences(t=8.310,3.453,23.011,11.711,P<0.05).The difference in complication rates between the two groups was statistically significant(χ^(2)=5.005,P<0.05).After treatment,patients in the observation group had lower ODI scores and VAS scores at the first day and month compared with the reference group,and the differences were statistically significant(t=5.564,3.348;6.687,17.694,P<0.05).Conclusion:The use of minimally invasive spinal surgery-intervertebral foraminoscopy in the treatment of patients with lumbar disc herniation can effectively improve patients’pain symptoms,promote functional recovery,and have a low complication rate,which is worth further promotion and application.

关 键 词：脊柱微创手术 腰椎间盘突出症 治疗效果 

分 类 号：R681.5[医药卫生—骨科学]