经皮椎间孔镜与大通道内镜减压治疗单节段腰椎侧隐窝狭窄症的疗效比较  

Comparison of Percutaneous Foraminal and Large Channel Endoscopic Decompression for Single Segment Lumbar Lateral Recess Stenosis

作　　者：梁涛 LIANG Tao(Department of Orthopedics,Beijing Jingshun Hospital,Beijing 101300,China)

机构地区：[1]北京京顺医院骨科,北京101300

出　　处：《中国医药指南》2023年第19期57-60,共4页Guide of China Medicine

摘　　要：目的对照单节段腰椎侧隐窝狭窄症行经皮椎间孔镜与大通道内镜减压方案的临床效果。方法研究样本采集2021年1月至2022年8月于本院诊治的80例单节段腰椎侧隐窝狭窄(LLRS)患者,随机均分为对照组与观察组。对照组患者实施经皮椎间孔镜手术,观察组患者实施大通道内镜减压手术,对比两组患者手术情况、炎症及应激指标、恢复情况。结果观察组患者的手术时间、切口长度、手术出血量均高于对照组(P<0.05),但两组住院时间、治疗费用无显著性差异(P>0.05);术后即刻观察组患者的CRP、SOD、MDA、IL-6、TNF-α均高于对照组,但是术后4周,观察组患者的CRP、SOD、MDA、IL-6、TNF-α均低于对照组(P<0.05);在术后1~6个月,观察组患者的腰腿VAS、ODI评分低于对照组,JOA评分高于对照组(P<0.05)。结论单节段LLRS实施大通道内镜减压术的整体治疗效果优于经皮椎间孔镜手术,且可提供更佳的活动度与疼痛治疗效果。Objective To analyze the clinical efficacy of percutaneous foraminal versus large channel endoscopic decompression options for control single segment lumbar lateral recess stenosis.Methods Study sample collection eighty patients with single segment lumbar crypt stenosis who were diagnosed in our hospital between January 2021 and August 2022 were randomly divided into control group and observation group.Percutaneous transforaminal surgery was performed on patients in the control group,while large channel endoscopic decompression was performed on patients in the observation group,and information on surgical information,inflammatory and stress indicators,and recovery was collected on patients in the control group.Results The operation time,incision length and blood loss in the observation group were higher than those in the control group(P<0.05).However,there was no significant difference in the cost of treatment and hospitalization time between the two groups(P>0.05);the CRP,SOD,MDA,IL-6 and TNF-αof patients in the observation group immediately after surgery were higher than those in the control group,but 4 weeks after surgery,the CRP,SOD,MDA,IL-6 and TNF-αof patients in the observation group were lower than those in the control group(P<0.05);in 1-6 months after surgery,the waist and leg VAS,The ODI score was lower than that of the control group,and the JOA score was higher than that of the control group(P<0.05).Conclusion The overall treatment effect of implementing large channel endoscopic decompression for single segment lumbar lateral recess stenosis is superior to percutaneous foraminoscopy and may provide better mobility recovery and pain treatment outcomes.

关 键 词：单节段腰椎侧隐窝狭窄 经皮椎间孔镜手术 大通道内镜减压术 脊柱微创治疗 

分 类 号：R681.5[医药卫生—骨科学]