椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症的疗效研究  

Effect of Foraminoscopy Combined with Selective Nerve Root Block in the Treatment of Lumbar Disc Herniation

作　　者：郑焕辉 Zheng Huanhui(Department of Orthopedics,Zhangqiu District Hospital of Traditional Chinese Medicine,Jinan 250200,Shandong Province,China)

机构地区：[1]章丘区中医医院骨科,山东济南250200

出　　处：《中外医药研究》2023年第14期55-57,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探讨椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症的临床效果。方法:选取2021年7月—2022年6月章丘区中医医院收治的腰椎间盘突出症患者80例为观察对象,根据随机数字表法分为观察组和对照组,各40例。观察组采用椎间孔镜技术联合选择性神经根阻滞治疗,对照组采用传统椎间开窗减压手术联合选择性神经根阻滞治疗。比较两组患者相关临床恢复指标。结果:观察组术后住院时间、手术切口长度短于对照组,差异有统计学意义(P<0.001);观察组总优良率高于对照组,差异有统计学意义(P=0.024);观察组术后3个月腰椎功能评分高于对照组,术后1个月视觉模拟评分低于对照组,差异有统计学意义(P<0.001);观察组术后并发症发生率低于对照组,差异有统计学意义(P=0.028)。结论:椎间孔镜技术联合选择性神经根阻滞治疗腰椎间盘突出症效果显著,有助于缩短术后住院时间、手术切口长度,减轻患者术后疼痛,促进患者术后腰椎功能恢复。Objective:To investigate the clinical effect of foraminoscopy combined with selective nerve root block in the treatment of lumbar disc herniation.Methods:A total of eighty patients with lumbar disc herniation admitted to Zhangqiu District Hospital of Traditional Chinese Medicine from July 2021 to June 2022 were selected as the observation objects,and were divided into observation group and control group according to random number table method,with forty cases in each group.The observation group was treated with foraminoscopy combined with selective nerve root block,and the control group was treated with traditional intervertebral fenestration decompression combined with selective nerve root block.The relevant clinical recovery indexes were compared between the two groups.Results:The length of hospital stay and incision in the observation group were shorter than those in the control group,the difference was statistically significant(P<0.001);The excellent and total good rate of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.024);The lumbar function score of the observation group was higher than that of the control group at 3 months after surgery,and the visual analog score at 1 month after surgery was lower than that of the control group,the difference was statistically significant(P<0.001);The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P=0.028).Conclusion:Foraminoscopy combined with selective nerve root block is effective in the treatment of lumbar disc herniation,which can help shorten postoperative hospital stay,surgical incision length,reduce postoperative pain,and promote the recovery of lumbar function.

关 键 词：选择性神经根阻滞 椎间孔镜技术 腰椎间盘突出症 

分 类 号：R68[医药卫生—骨科学]