椎间孔镜技术与骨科开放手术治疗腰椎间盘突出症并腰椎管狭窄症的效果分析  

Analysis of the effect of foraminoscopy and open orthopaedic surgery on lumbar disc herniation with lumbar spinal stenosis

作　　者：毛金贺 MAO Jin-he(Spinal Surgery Department,Chifeng Hospital of Inner Mongolia Autonomous Region,Chifeng 024000,China)

机构地区：[1]内蒙古自治区赤峰市医院脊柱外科,024000

出　　处：《中国实用医药》2025年第6期56-59,共4页China Practical Medicine

摘　　要：目的 分析椎间孔镜技术与骨科开放手术治疗腰椎间盘突出症并腰椎管狭窄症的效果。方法 70例腰椎间盘突出症并腰椎管狭窄症患者作为研究对象,随机分为试验组和对照组,每组35例。试验组患者采用椎间孔镜技术进行治疗,对照组患者采用骨科开放手术进行治疗。比较两组患者手术切口长度、术中出血量、手术时间及手术前后视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分。结果 对照组手术切口长度为(10.52±2.04)cm,试验组为(2.13±0.56)cm;对照组术中出血量为(200.35±50.28)ml,试验组为(50.16±10.63)ml;对照组手术时间为(120.45±30.45)min,试验组为(91.23±21.36)min;与对照组比较,试验组手术切口长度及手术时间更短,术中出血量更少(P<0.05)。术前1 d及术后3 d、6个月、1年,两组VAS评分比较,均无统计学差异(P>0.05)。术前1 d及术后3 d、6个月,两组ODI评分比较,均无统计学差异(P>0.05);术后1年,试验组ODI评分(25.52±1.91)分低于对照组的(30.36±1.87)分(P<0.05)。结论 椎间孔镜技术在治疗腰椎间盘突出症并腰椎管狭窄症方面相比骨科开放手术具有手术切口小、术中出血量少、手术时间短等优点,且远期腰腿功能恢复更好。Objective To analyze the effect of foraminoscopy and open orthopaedic surgery on lumbar disc herniation with lumbar spinal stenosis.Methods 70 patients with lumbar disc herniation and lumbar spinal stenosis were randomly divided into an experimental group and a control group,with 35 cases in each group.The experimental group was treated with foraminoscopy,and the control group was treated with open orthopaedic surgery.The incision length,intraoperative blood loss,operation time,Visual Analogue Scale(VAS) score and Oswestry Dysfunction Index(ODI) score were compared between the two groups.Results The incision length was(10.52±2.04) cm in the control group and(2.13±0.56) cm in the experimental group;the intraoperative blood loss was(200.35±50.28) ml in the control group and(50.16±10.63) ml in the experimental group;the operation time was(120.45±30.45) min in the control group and(91.23±21.36) min in the experimental group.Compared with the control group,the incision length and operation time in the experimental group were shorter,and the intraoperative blood loss was less(P<0.05).There was no statistically significant difference in VAS scores between the two groups at 1 d before surgery and 3 d,6 months and 1 year after surgery(P>0.05).There was no statistically significant difference in ODI scores between the two groups at 1 d before surgery and 3 d and 6 months after surgery(P>0.05).At 1 year after surgery,ODI score of(25.52 ± 1.91) points in the experimental group was lower than(30.36 ± 1.87) points in the control group(P<0.05).Conclusion Compared with open orthopedic surgery,foramenoscopy has the advantages of smaller incision,less intraoperative bleeding,shorter operation time and better long-term recovery of lumbar and leg functions in the treatment of lumbar disc herniation with lumbar spinal stenosis.

关 键 词：椎间孔镜技术 骨科开放手术 腰椎间盘突出症 腰椎管狭窄症 

分 类 号：R687.3[医药卫生—骨科学]