对比椎间孔镜神经根减压松解术、椎板间开窗髓核摘除术对单节段单侧腰椎间盘突出症的实际治疗效果
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摘要
目的研究探讨椎间孔镜神经根减压松解术、椎板间开窗髓核摘除术对单节段单侧腰椎间盘突出症的实际治疗效果。方法该实验于2017年1月—2018年6月在该院进行,以此时段内收治的80例腰椎间盘突出症患者为研究对象,随机均分两组各40例,以椎板间开窗髓核摘除术治疗为对照组,以椎间孔镜神经根减压松解术为观察组,分析椎间孔镜神经根减压松解术治疗的价值,并对比两组的疗效、腰痛评分。结果观察组疗效较对照组高,下床活动更早(2.5±1.6)d,住院的时间(5.8±1.8)d少,且患者的术中出血量(98.5±11.6)mL少于对照组(t=12.158,14.125 5,15.312,P<0.05),腰痛评分优于对照组(P<0.05)。结论对于椎间盘突出症患者,采取椎间孔镜神经根减压松解术治疗,效果显著,可以增强疗效,减轻腰部疼痛,减少书中出血量、住院时间等,恢复较快,值得在今后的治疗中应用。
Objective To study the effect of endoscopic decompression and decompression of nerve roots and fenestration of intervertebral lamina for unilateral lumbar disc herniation. Methods The experiment was conducted in our hospital from January 2017 to June 2018. 80 patients with lumbar intervertebral disc herniation were randomly divided into two groups, 40 cases in each group. The control group was treated with intervertebral fenestration and nucleus pulposus enucleation, and the observation group was treated with intervertebral foraminoscopic nerve root decompression and release. The value of decompression through root decompression was compared, and the efficacy and lumbago score of the two groups were compared. Results The efficacy of the observation group was higher than that of the control group, the activity of getting out of bed was earlier(2.5±1.6) d, the time of hospitalization(5.8±1.8)d(t=12.158,14.125 5,15.312,P<0.05), and the amount of intraoperative blood loss(98.5±11.6)mL was less than. In the control group, the low back pain score was better than the control group.(P<0.05). Conclusion For patients with intervertebral disc herniation, decompression and release of nerve roots by foraminoscope is effective, which can enhance the curative effect, relieve lumbar pain, reduce the amount of bleeding in books, hospitalization time and so on. It is worth applying in the future treatment.
Objective To study the effect of endoscopic decompression and decompression of nerve roots and fenestration of intervertebral lamina for unilateral lumbar disc herniation. Methods The experiment was conducted in our hospital from January 2017 to June 2018. 80 patients with lumbar intervertebral disc herniation were randomly divided into two groups, 40 cases in each group. The control group was treated with intervertebral fenestration and nucleus pulposus enucleation, and the observation group was treated with intervertebral foraminoscopic nerve root decompression and release. The value of decompression through root decompression was compared, and the efficacy and lumbago score of the two groups were compared. Results The efficacy of the observation group was higher than that of the control group, the activity of getting out of bed was earlier(2.5±1.6) d, the time of hospitalization(5.8±1.8)d(t=12.158,14.125 5,15.312,P<0.05), and the amount of intraoperative blood loss(98.5±11.6)mL was less than. In the control group, the low back pain score was better than the control group.(P<0.05). Conclusion For patients with intervertebral disc herniation, decompression and release of nerve roots by foraminoscope is effective, which can enhance the curative effect, relieve lumbar pain, reduce the amount of bleeding in books, hospitalization time and so on. It is worth applying in the future treatment.
引文
[1]王立飞,孙永进,杨祖华.可视化椎间孔成形系统辅助下的椎间孔镜手术治疗腰椎间盘突出症的疗效[J].安徽医学,2018(9):1122-1124.
[2]田大胜,王其飞,钟华璋,等.经皮椎间孔镜(TESSYS)治疗不同节段腰椎间盘突出症患者的疗效对比分析[J].安徽医科大学学报,2018(11):1791-1794.
[3]江加义,吴波,长安定,等.经皮椎间孔镜技术与传统椎板间开窗髓核摘除术的疗效比较[J].临床医学,2017,37(6):67-69.
[4]金丹.经皮椎间孔镜治疗椎间盘突出及神经根粘连松解术的围手术期护理[J].中国实用神经疾病杂志,2016,19(24):139-140.
[5]巩陈,呼国臣,申才良.椎间孔镜神经根减压松解术与椎板间开窗髓核摘除术治疗单节段单侧腰椎间盘突出症对比观察[J].山东医药,2016,56(27):87-89.
[6]杨维权,孙荣华,李德粦,等.经皮椎间孔镜技术行腰骶神经根减压松解术治疗腰椎间盘突出症[J].中国骨与关节损伤杂志,2016,31(5):453-456.
[7]裴磊,刘欣春,朱悦.显微内窥镜腰椎间盘切除术与椎板间开窗髓核摘除术治疗腰椎间盘突出症临床效果系统评价[J].山东医药,2015,55(37):78-81.
[8]王冠容.经皮椎间孔镜下单节段腰椎管狭窄神经松解术的护理配合[J].实用医药杂志,2015,32(2):185-186.
[9]吴泉兵.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症59例临床分析[J].吉林医学,2014,35(2):331-332.
[10]王鸿忠,齐永健.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症180例临床分析[J].华夏医学,2013,26(1):138-139.
[11]黄恪,梁晟伟.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症的临床分析[J].中国社区医师:医学专业,2012,14(9):99.
[2]田大胜,王其飞,钟华璋,等.经皮椎间孔镜(TESSYS)治疗不同节段腰椎间盘突出症患者的疗效对比分析[J].安徽医科大学学报,2018(11):1791-1794.
[3]江加义,吴波,长安定,等.经皮椎间孔镜技术与传统椎板间开窗髓核摘除术的疗效比较[J].临床医学,2017,37(6):67-69.
[4]金丹.经皮椎间孔镜治疗椎间盘突出及神经根粘连松解术的围手术期护理[J].中国实用神经疾病杂志,2016,19(24):139-140.
[5]巩陈,呼国臣,申才良.椎间孔镜神经根减压松解术与椎板间开窗髓核摘除术治疗单节段单侧腰椎间盘突出症对比观察[J].山东医药,2016,56(27):87-89.
[6]杨维权,孙荣华,李德粦,等.经皮椎间孔镜技术行腰骶神经根减压松解术治疗腰椎间盘突出症[J].中国骨与关节损伤杂志,2016,31(5):453-456.
[7]裴磊,刘欣春,朱悦.显微内窥镜腰椎间盘切除术与椎板间开窗髓核摘除术治疗腰椎间盘突出症临床效果系统评价[J].山东医药,2015,55(37):78-81.
[8]王冠容.经皮椎间孔镜下单节段腰椎管狭窄神经松解术的护理配合[J].实用医药杂志,2015,32(2):185-186.
[9]吴泉兵.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症59例临床分析[J].吉林医学,2014,35(2):331-332.
[10]王鸿忠,齐永健.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症180例临床分析[J].华夏医学,2013,26(1):138-139.
[11]黄恪,梁晟伟.小切口椎板间开窗髓核摘除术治疗腰椎间盘突出症的临床分析[J].中国社区医师:医学专业,2012,14(9):99.