经皮椎间孔镜对腰椎间盘突出症患者疼痛改善及术后复发率的影响  

Effect of Percutaneous Foraminal Endoscopy on Pain Improvement and Postoperative Recurrence Rate in Patients with Lumbar Disc Herniation

作　　者：郭玉龙 杨立强[2] 郭强 GUO Yu-long;YANG Li-qiang;GUO Qiang(Department of Pain,the First People's Hospital of Lingbao,Lingbao 472500,China;Department of Pain,Xuanwu Hospital,Beijing 100000,China;The Third People's Hospital of Henan Province,Zhengzhou 450000,China)

机构地区：[1]灵宝市第一人民医院疼痛科,灵宝472500 [2]首都医科大学宣武医院疼痛科,北京100000 [3]河南省直第三人民医院椎间盘中心,郑州450000

出　　处：《四川解剖学杂志》2024年第5期9-11,共3页Sichuan Journal of Anatomy

摘　　要：目的:探讨腰椎间盘突出症(LDH)患者采用经皮椎间孔镜治疗对疼痛及术后复发的影响.方法:选取2019 年3 月至2020 年5 月灵宝市第一人民医院收治的92 例LDH患者为研究对象.根据手术方法,将其分为观察组(n=46,采用经皮椎间孔镜髓核摘除术)和对照组(n=46,采用椎板开窗髓核摘除术).比较两组患者不同时点疼痛程度、腰椎功能及术后疾病复发情况.结果:两组患者术后 1 周、1 个月的视觉模拟评分法(VAS)评分均降低,且观察组低于对照组,差异均有统计学意义(P<0.05);术后 6 个月,两组患者日本骨科协会评估治疗分数(JOA)各维度评分均升高,且观察组高于对照组,差异均有统计学意义(P<0.05);术后 6 个月,观察组患者疾病复发率略低于对照组,差异无统计学意义(P>0.05).结论:经皮椎间孔镜对LDH患者疼痛程度及腰椎功能改善效果较椎板开窗髓核摘除术好,且术后复发率较低.Objective:To explore the impact of percutaneous foraminal endoscopy on pain and postoperative recurrence in patients with lumbar disc herniation(LDH).Methods:A total of 92 patients with LDH admitted to the first people's hospital of Lingbao from March 2019 to May 2020 were selected as research objects.According to surgical methods,they were divided into observation group(n=46,received percutaneous intervertebral foramen endoscopic removal of nucleus pulposus)and control group(n=46,received spinal plate fenestration and nucleus pulposus removal surgery).The pain level,lumbar spine function,and postoperative disease recurrence were compared between two groups at different time points.Results:The visual analogue scale(VAS)scores of both groups decreased at 1 week and 1 month after surgery,and observation group was lower than control group,with statistically significant differences(P<0.05).After 6 months of surgery,both groups showed an increase in Japanese orthopaedic associationscores(JOA)scores in all dimensions,with observation group having a higher score,and the differences were statistically significant(P<0.05).After 6 months of surgery,compared with control group,observation group had a slightly lower disease recurrence rate,and the dfference was not statistically significant(P>0.05).Conclusion:Percutaneous intervertebral foramen endoscopy has a better effect on improving the pain level and lumbar spine function in patients with LDH compared to spinal plate fenestration and nucleus pulposus removal surgery,and has a lower postoperative recurrence rate.

关 键 词：腰椎间盘突出症 经皮椎间孔镜髓核摘除术 椎板开窗髓核摘除术 疼痛 复发 

分 类 号：R687.3[医药卫生—骨科学]