经皮椎间孔镜治疗腰椎间盘突出症的临床疗效分析
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摘要
目的探究经皮椎间孔镜治疗腰椎间盘突出症的临床疗效,为临床治疗腰椎间盘突出提供一定的参考价值。方法将2016年5月至2018年5月本院收治的腰椎间盘突出症手术患者共116例作为研究对象,实验组为经皮椎间孔镜微创手术治疗患者,对照组为常规开放外科手术治疗患者,综合比较两组患者的手术相关指标以及术后疗效评价。结果实验组的手术时间、手术切口大小、术中出血量等的手术相关指标均优于对照组患者,差异有统计学意义(P<0.05),两组患者的视觉模拟评分以及腰背痛手术疗效评价对比发现,实验组患者亦优于对照组患者,差异有统计学意义(P<0.05)。结论经皮椎间孔镜治疗腰椎间盘突出症相较于传统术式,患者痛苦小,有利于术后康复,疗效显著,具有重要的临床推广价值。
引文
[1]王国基,王国军,彭健民,等.腰椎间盘突出症致病因素的流行病学研究[J].现代预防医学,2009,36(13):2401-2403.
[2]徐仲林,蒋赞利.经皮椎间孔镜技术的发展、治疗范围、并发症及特点[J].东南大学学报,2015,34(3):452-455.
[3]王建,周跃,张正丰,等.经皮内窥镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出症[J]中国脊柱脊髓杂志,2008,18(7):494-497.
[4]周建伟,杨滨,任冬云,等.杨氏椎间孔镜治疗腰椎间盘突出症的远期疗效[J].中国矫形外科杂志,2012,20(17):1537-1540.
[5]陈燕,吴刚,刘锴,等.椎间孔镜治疗脱出型腰椎间盘突出症疗效分析[J].泰山医学院学报,2016,37(11):1277-1278.
[6]周跃,李长青,王建,等.椎间孔镜YESS与TESSYS技术治疗腰椎间盘突出症[J].中华骨科杂志,2010,30(3):225-231.
[7]严广斌.视觉模拟评分法[J].中华关节外科杂志,2014,8(2):34-36.
[8]户小彬,张涛,张津生.椎间孔镜治疗青年腰椎间盘突出症的效果[J].中国中西医结合外科杂志,2017,23(5):538-540.
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[10]廖晓龙,徐峰,蔡贤华,等.PELD及MED治疗腰椎间盘突出症的临床比较研[J].中国中医骨伤科杂志,2014,22(7):5-70.
[11]唐天驷,郑召民.积极健康地发展我国的微创脊柱外科[J].中国脊柱脊髓杂志,2003,13(2):69-70.
[12]金林中,舒巍.经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2013,22(29):3257-3258.
[13]吴小程,周跃,李长青.经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症的前瞻性随机对照研究[J].第三军医大学学报,2009,31(9):843-846.
[14] Ko I, Osamu T, Hideyuki S, et al. Translaminar Microendoscopic Herniotomy for Cranially Migrated Lumbar Disc Herniations Encroaching on the Exiting Nerve Root in the Preforaminal and Foraminal Zones[J].Asian Spine Journal, 2013,7(3):190-195.
[15] Zhu Z, Zhao Q, Wang B, et al. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation:its curve pattern and natural history after lumbar discectomy[J]. Bmc Musculoskeletal Disorders, 2011,12(1):216-219.
[16] Hsu, Chai, Chang, et al. Learning curve of full-endoscopic lumbar discectomy[J]. European Spine Journal, 2013,22(4):727-733.
[17]李友涛.经皮椎间孔镜微创技术治疗腰椎间盘突出的疗效观察[J].河南医学研究,2015,24(7):71-72.
[18] Fan G, Guan X, Zhang H, et al. Significant Improvement of Puncture Accuracy and Fluoroscopy Reduction in Percutaneous Transforaminal Endoscopic Discectomy With Novel Lumbar Location System:Preliminary Report of Prospective Hello Study[J]. Medicine,2015,94(49):e2189.
[19] Park JS, Choi SE, Cho TK, et al. Recurrence Rate after Herniotomy only versus Discectomy in Lumbar Disc Herniation[J]. Korean Journal of Spine, 2013,10(4):227-231.
[20]吴根发,陈超.经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症对比分析[J].当代医学,2015,21(30):55-56.
[21] Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation:Surgical technique, outcome, and complications in 307 consecutive cases[J]. Spine, 2002,27(7):722-731.
[22]赵祥,何升华,丁浩,等.经皮椎间孔镜椎间盘切除术治疗青年腰椎间盘突出症[J].临床骨科杂志,2014,17(5):505-507.
[23] Kaner T, Sasani M, Oktenoglu T, et al. Minimum TwoYear Follow-Up of Cases with Recurrent Disc Herniation Treated with Microdiscectomy and Posterior Dynamic Transpedicular Stabilisation[J]. Open Orthopaedics Journal, 2010,4(1):120-125.
[2]徐仲林,蒋赞利.经皮椎间孔镜技术的发展、治疗范围、并发症及特点[J].东南大学学报,2015,34(3):452-455.
[3]王建,周跃,张正丰,等.经皮内窥镜下腰椎间盘切除术治疗极外侧型腰椎间盘突出症[J]中国脊柱脊髓杂志,2008,18(7):494-497.
[4]周建伟,杨滨,任冬云,等.杨氏椎间孔镜治疗腰椎间盘突出症的远期疗效[J].中国矫形外科杂志,2012,20(17):1537-1540.
[5]陈燕,吴刚,刘锴,等.椎间孔镜治疗脱出型腰椎间盘突出症疗效分析[J].泰山医学院学报,2016,37(11):1277-1278.
[6]周跃,李长青,王建,等.椎间孔镜YESS与TESSYS技术治疗腰椎间盘突出症[J].中华骨科杂志,2010,30(3):225-231.
[7]严广斌.视觉模拟评分法[J].中华关节外科杂志,2014,8(2):34-36.
[8]户小彬,张涛,张津生.椎间孔镜治疗青年腰椎间盘突出症的效果[J].中国中西医结合外科杂志,2017,23(5):538-540.
[9]潘承波,刘法银,李嗣生.经皮椎间孔镜治疗腰椎间盘突出症的疗效观察[J].中国骨与关节损伤杂志,2015,30(1):94-95.
[10]廖晓龙,徐峰,蔡贤华,等.PELD及MED治疗腰椎间盘突出症的临床比较研[J].中国中医骨伤科杂志,2014,22(7):5-70.
[11]唐天驷,郑召民.积极健康地发展我国的微创脊柱外科[J].中国脊柱脊髓杂志,2003,13(2):69-70.
[12]金林中,舒巍.经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效观察[J].现代中西医结合杂志,2013,22(29):3257-3258.
[13]吴小程,周跃,李长青.经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症的前瞻性随机对照研究[J].第三军医大学学报,2009,31(9):843-846.
[14] Ko I, Osamu T, Hideyuki S, et al. Translaminar Microendoscopic Herniotomy for Cranially Migrated Lumbar Disc Herniations Encroaching on the Exiting Nerve Root in the Preforaminal and Foraminal Zones[J].Asian Spine Journal, 2013,7(3):190-195.
[15] Zhu Z, Zhao Q, Wang B, et al. Scoliotic posture as the initial symptom in adolescents with lumbar disc herniation:its curve pattern and natural history after lumbar discectomy[J]. Bmc Musculoskeletal Disorders, 2011,12(1):216-219.
[16] Hsu, Chai, Chang, et al. Learning curve of full-endoscopic lumbar discectomy[J]. European Spine Journal, 2013,22(4):727-733.
[17]李友涛.经皮椎间孔镜微创技术治疗腰椎间盘突出的疗效观察[J].河南医学研究,2015,24(7):71-72.
[18] Fan G, Guan X, Zhang H, et al. Significant Improvement of Puncture Accuracy and Fluoroscopy Reduction in Percutaneous Transforaminal Endoscopic Discectomy With Novel Lumbar Location System:Preliminary Report of Prospective Hello Study[J]. Medicine,2015,94(49):e2189.
[19] Park JS, Choi SE, Cho TK, et al. Recurrence Rate after Herniotomy only versus Discectomy in Lumbar Disc Herniation[J]. Korean Journal of Spine, 2013,10(4):227-231.
[20]吴根发,陈超.经皮椎间孔镜与显微内窥镜治疗腰椎间盘突出症对比分析[J].当代医学,2015,21(30):55-56.
[21] Yeung AT, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation:Surgical technique, outcome, and complications in 307 consecutive cases[J]. Spine, 2002,27(7):722-731.
[22]赵祥,何升华,丁浩,等.经皮椎间孔镜椎间盘切除术治疗青年腰椎间盘突出症[J].临床骨科杂志,2014,17(5):505-507.
[23] Kaner T, Sasani M, Oktenoglu T, et al. Minimum TwoYear Follow-Up of Cases with Recurrent Disc Herniation Treated with Microdiscectomy and Posterior Dynamic Transpedicular Stabilisation[J]. Open Orthopaedics Journal, 2010,4(1):120-125.