PEID与PETD治疗L5-S1钙化腰椎间盘突出症的临床效果对比  

Comparison of clinical effect of PEID and PETD in treatment of L5-S1 calcified lumbar disc herniation

作　　者：苏智慧[1] 马红娜 柴祥雪[2] 程瑞娟[1] SU Zhi-hui;MA Hong-na;CHAI Xiang-xue;CHENG Rui-juan(Department of Orthopaedics,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Cardiovascular Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院骨科五病区,郑州450052 [2]郑州大学第一附属医院心血管外科二病区,郑州450052

出　　处：《医药论坛杂志》2023年第10期61-63,67,共4页Journal of Medical Forum

摘　　要：目的 对比椎板间入路经皮内窥镜下椎间盘切除术(PEID)与椎间孔入路经皮内窥镜下椎间盘切除术(PETD)治疗L5-S1钙化腰椎间盘突出症的临床效果。方法 从郑州大学第一附属医院2022年1月23日—2023年1月23日收入治疗的L5-S1钙化腰椎间盘突出症患者中,选取96例作为此次研究对象,以数字随机表法分组为对照组和观察组,对照组(n=48)采取PETD进行治疗,观察组(n=48)采取PEID进行治疗,观察对比两组患者手术各项指标、腰痛腿痛的VAS评分、ODI的指数、改良后MacNab的疗效。结果 两组出血量、住院时间无明显差异(P>0.05),观察组手术时长显著短于对照组、透视次数显著少于对照组(P<0.05)。术后的1个月、3个月、1年,两组腰痛腿痛的VAS评分、ODI的指数评分较术前均显著下降(P<0.05),但两组术前术后腰痛腿痛的VAS评分、ODI的指数评分差异无统计学意义(P>0.05)。观察组优良率为95.83%,与对照组的93.75%相比无显著差异(P>0.05)。结论 在L5-S1钙化腰椎间盘突出症治疗中,PEID与PETD临床疗效相当,但相比PETD,PEID的手术时长更短,需要的透视次数更少。Objective To compare the clinical effects of PEID and PETD in the treatment of L5-S1 calcified lumbar disc herniation.Methods Totally 96 patients with L5-S1 calcified lumbar disc herniation who received treatment in the First Affliated Hospital of Zhengzhou University(January 23,2022-January 23,2023)were selected as subjects of this study and divided into control group and observation group by digital random table method.The control group(n=48)was treated with PETD.Observation group(n=48)was treated with PEID,and the surgical indexes,VAS score of lumbago and leg pain,ODI index and the efficacy of modified MacNab were observed and compared between the two groups.Results There was no significant dfference in blood loss and hospital stay between the two groups(P>0.05).The operation duration in the observation group was significantly shorter than that of the control group,and the number of fluoroscopy was significantly less than that of the control group(P<0.05).One month,three months and one year after surgery,VAS score and ODI index score of lumbago and leg pain in the two groups were significantly decreased compared with those before surgery,P<0.05,but there was no significant difference in VAS score and ODI index score of lumbago and leg pain before and after surgery between the two groups,P>0.05.The excellent and good rate of the observation group was 95.83%,which had no significant difference compared with 93.75%of the control group,P>0.05.Conclusions In the treatment of L5-S1 calcified lumbar disc herniation,the clinical eficacy of PEID and PETD is comparable,but compared with PETD,the operation duration of PEID is shorter and the requirement of fluoroscopy is lesser.

关 键 词：钙化腰椎间盘突出症 L5-S1 PEID PETD 临床效果 

分 类 号：R687.3[医药卫生—骨科学]