诊断性脊神经根封闭联合脊柱内窥镜治疗复杂性腰椎间盘突出的临床疗效  

Clinical efficacy of diagnostic spinal nerve root closure combined with spinal endoscopy in the treatment of complex lumbar disc herniation

作　　者：付文锋 周友华[1] 余伟 FU Wenfeng;ZHOU Youhua;YU Wei(Department of Orthopedics,First People's Hospital of Fuzhou City,Fuzhou,Jiangxi,344000,China)

机构地区：[1]抚州市第一人民医院骨科,江西抚州344000

出　　处：《当代医学》2024年第22期63-67,共5页Contemporary Medicine

基　　金：江西省卫健委科技计划项目(202312410)。

摘　　要：目的探讨诊断性脊神经根封闭联合脊柱内窥镜治疗复杂性腰椎间盘突出的临床疗效。方法选取2022年1月至2023年6月抚州市第一人民医院收治的60例复杂性腰椎间盘突出患者作为研究对象,按照随机数字表法分为研究组与参照组,每组30例。参照组采用脊柱内窥镜术,研究组采用诊断性脊神经根封闭联合脊柱内窥镜术治疗,比较两组临床指标及视觉模拟评分法(visual analog scale,VAS)、日本骨科协会评估治疗(Japanese Orthopaedic Association,JOA)、Oswestry功能障碍指数(Oswestry disability index,ODI)评分、脊柱对称性[侧屈角比(lateral flexion angle ratio,LR)、侧弯角(M)、旋转角(HA)]、临床疗效。结果研究组手术时间、术后住院时间均短于参照组,术中出血量少于参照组,定位诊断准确率高于参照组,差异有统计学意义(P<0.05)。术后,两组VAS、ODI评分均低于术前,JOA均高于术前,且研究组VAS、ODI评分均低于参照组,JOA评分高于参照组,差异有统计学意义(P<0.05)。术后,两组LR、M、HA均小于术前,且研究组小于参照组,差异有统计学意义(P<0.05)。研究组治疗总有效率高于参照组,差异有统计学意义(P<0.05)。结论诊断性脊神经根封闭联合脊柱内窥镜术治疗复杂性腰椎间盘突出症效果显著,可降低患者疼痛感,有效促进临床恢复,改善患者运动功能,临床应用价值较高,值得临床推广应用。Objective To investigate the clinical efficacy of diagnostic spinal nerve root closure combined with spinal endoscopy in the treatment of complex lumbar disc herniation.Methods 60 patients with complex lumbar disc herniation admitted to the First People's Hospital of Fuzhou City from January 2022 to June 2023 were selected as the research subjects,they were divided into the study group and the reference group according to the random number table method,with 30 cases in each group.The reference group was treated with spinal endoscopy,and the study group was treated with diagnostic spinal nerve root closure combined with spinal endoscopy.The clinical indicators,visual analog scale(VAS),Japanese Orthopaedic Association(JOA)score,Oswestry disability index(ODI)score,spinal symmetry(lateral flexion angle ratio[LR],lateral bending angle(M),rotation angle[HA])and clinical efficacy were compared between the two groups.Results The operation time and postoperative hospitalization time in the study group were shorter than those in the reference group,the intraoperative blood loss was less than that in the reference group,and the accuracy of positioning diagnosis was higher than that in the reference group,the differences were statistically significant(P<0.05).After operation,the VAS and ODI scores of the two groups were lower than those before operation,and the JOA scores were higher than those before operation,the VAS and ODI scores in the study group were lower than those in the reference group,and the JOA score was higher than that in the reference group,the differences were statistically significant(P<0.05).After operation,LR,M and HA of the two groups were smaller than those before operation,and the study group was smaller than the reference group,the differences were statistically significant(P<0.05).The total effective rate of treatment in the study group was higher than that in the reference group,and the difference was statistically significant(P<0.05).Conclusion Diagnostic spinal nerve root closure combined with sp

关 键 词：诊断性脊神经根封闭 脊柱内窥镜 复杂性腰椎间盘突出 

分 类 号：R68[医药卫生—骨科学]