经皮椎间孔镜技术治疗复发性腰椎间盘突出症的临床效果
|
摘要
目的探讨经皮椎间孔镜技术治疗复发性腰椎间盘突出症的临床效果。方法选取2017年1月至2018年2月我院收治的98例复发性腰椎间盘突出症患者作为研究对象,将其随机分为对照组与观察组,各49例。对照组采用传统椎板开窗髓核摘除术,观察组采用经皮椎间孔镜技术。比较两组患者的治疗效果。结果术后1 d、1、6个月,两组患者的VAS评分均降低,且观察组显著低于对照组(P<0.05)。术后1 d、1、6个月,两组患者JOA评分均升高,且观察组显著高于对照组(P<0.05)。术后1 d、1、6个月,两组患者的ODI指数均降低,且观察组显著低于对照组(P<0.05)。观察组患者的手术时间及住院时间显著短于对照组,术中出血量显著少于对照组(P<0.05)。结论经皮椎间孔镜技术治疗复发性腰椎间盘突出症的效果明显,可降低患者疼痛感及术中出血量,安全性高,且可促进患者康复。
Objective To investigate the clinical effect of percutaneous transforaminal endoscopy in the treatment of recurrent lumbar disc herniation. Methods Ninety-eight patients with recurrent lumbar disc herniation admitted in our hospital from January 2017 to February 2018 were selected as the study objects, and they were randomly divided into control group and observation group, with 49 cases in each group. The control group was treated with traditional laminectomy and the observation group was treated with percutaneous transforaminal endoscopy. The clinical effect of the two groups were compared. Results At 1 day, 1 month and 6 months after operation, the VAS scores of the two groups decreased, and those in the observation group were significantly lower than the control group( P<0.05). At 1 day, 1 month and 6 months after operation, the JOA scores of the two groups increased, and those in the observation group were significantly higher than the control group(P<0.05). At 1 day, 1 month and 6 months after operation, the ODI indexes of both groups decreased, and those in the observation group were significantly lower than the control group( P<0.05). The operation time and hospitalization time in the observation group were significantly shorter than those in the control group,and the intraoperative bleeding volume was significantly less than that in the control group(P <0.05). Conclusion Percutaneous transforaminal endoscopy is effective in the treatment of recurrent lumbar disc herniation, which can reduce the pain and intraoperative bleeding volume of patients, with high safety, and promote the rehabilitation of patients.
Objective To investigate the clinical effect of percutaneous transforaminal endoscopy in the treatment of recurrent lumbar disc herniation. Methods Ninety-eight patients with recurrent lumbar disc herniation admitted in our hospital from January 2017 to February 2018 were selected as the study objects, and they were randomly divided into control group and observation group, with 49 cases in each group. The control group was treated with traditional laminectomy and the observation group was treated with percutaneous transforaminal endoscopy. The clinical effect of the two groups were compared. Results At 1 day, 1 month and 6 months after operation, the VAS scores of the two groups decreased, and those in the observation group were significantly lower than the control group( P<0.05). At 1 day, 1 month and 6 months after operation, the JOA scores of the two groups increased, and those in the observation group were significantly higher than the control group(P<0.05). At 1 day, 1 month and 6 months after operation, the ODI indexes of both groups decreased, and those in the observation group were significantly lower than the control group( P<0.05). The operation time and hospitalization time in the observation group were significantly shorter than those in the control group,and the intraoperative bleeding volume was significantly less than that in the control group(P <0.05). Conclusion Percutaneous transforaminal endoscopy is effective in the treatment of recurrent lumbar disc herniation, which can reduce the pain and intraoperative bleeding volume of patients, with high safety, and promote the rehabilitation of patients.
引文
[1]郭卫春,周升,熊敏,等.经皮椎间孔镜BEIS技术治疗复发性腰椎间盘突出症疗效及预后因素分析[J].临床外科杂志,2017,25(12):926-929.
[2]禤天航,刘效仿,曹正霖,等.经皮椎间孔镜与椎板开窗髓核摘除术治疗复发性腰椎间盘突出症的疗效比较[J].中国骨与关节损伤杂志,2016,31(9):972-974.
[3]孙凤龙,章耀华,李强,等.经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效观察[J].中国临床医生杂志,2016,44(2):75-78.
[4]徐峰,张同会,蔡贤华,等.经皮椎间孔镜治疗复发性腰椎间盘突出症的临床应用[J].中国矫形外科杂志,2016,24(13):1179-1183.
[5]王旭阳.经皮椎间孔镜手术与传统开放减压手术对老年性椎管狭窄症患者预后的影响[J].临床医学研究与实践,2018,3(14):50-51,95.
[6]许天明,倪斌,王魁,等.经皮椎间孔镜技术治疗腰椎间盘突出症[J].颈腰痛杂志,2016,37(3):186-190.
[7]韩广,汤锋武,张赛,等.经皮椎间孔镜技术治疗腰椎间盘突出症和腰椎间孔狭窄的并发症原因分析与处理[J].中国现代神经疾病杂志,2016,16(4):210-215.
[8]郭霆,程超.经皮椎间孔镜与椎间盘镜下手术治疗腰椎间盘突出症的疗效[J].临床医学研究与实践,2018,3(11):48-49.
[9]王建顺,张军,王新虎,等.经皮椎间孔镜技术治疗腰椎间盘突出症的疗效分析[J].中国骨与关节损伤杂志,2016,31(7):704-706.
[10]徐峰,韩晶,蔡贤华,等.经皮椎间孔镜技术在复发性腰椎间盘突出症治疗中的应用[J].骨科,2016,7(1):8-12.
[11]吴冠男,张世民,靳蛟,等.经皮椎间孔镜技术治疗腰椎间盘突出症[J].中国骨伤,2017,30(9):861-865.
[12]蔡鑫,崔志明,李玉前,等.椎间孔镜技术在治疗复发性腰椎间盘突出症的临床效果[J].江苏医药,2017,43(4):285-287.
[13]王翀,姜飞,宋兴华,等.经皮椎间孔镜TESSYS技术与开放手术治疗腰椎间盘突出症疗效及安全性比较[J].新疆医科大学学报,2017,40(10):1288-1292.
[2]禤天航,刘效仿,曹正霖,等.经皮椎间孔镜与椎板开窗髓核摘除术治疗复发性腰椎间盘突出症的疗效比较[J].中国骨与关节损伤杂志,2016,31(9):972-974.
[3]孙凤龙,章耀华,李强,等.经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效观察[J].中国临床医生杂志,2016,44(2):75-78.
[4]徐峰,张同会,蔡贤华,等.经皮椎间孔镜治疗复发性腰椎间盘突出症的临床应用[J].中国矫形外科杂志,2016,24(13):1179-1183.
[5]王旭阳.经皮椎间孔镜手术与传统开放减压手术对老年性椎管狭窄症患者预后的影响[J].临床医学研究与实践,2018,3(14):50-51,95.
[6]许天明,倪斌,王魁,等.经皮椎间孔镜技术治疗腰椎间盘突出症[J].颈腰痛杂志,2016,37(3):186-190.
[7]韩广,汤锋武,张赛,等.经皮椎间孔镜技术治疗腰椎间盘突出症和腰椎间孔狭窄的并发症原因分析与处理[J].中国现代神经疾病杂志,2016,16(4):210-215.
[8]郭霆,程超.经皮椎间孔镜与椎间盘镜下手术治疗腰椎间盘突出症的疗效[J].临床医学研究与实践,2018,3(11):48-49.
[9]王建顺,张军,王新虎,等.经皮椎间孔镜技术治疗腰椎间盘突出症的疗效分析[J].中国骨与关节损伤杂志,2016,31(7):704-706.
[10]徐峰,韩晶,蔡贤华,等.经皮椎间孔镜技术在复发性腰椎间盘突出症治疗中的应用[J].骨科,2016,7(1):8-12.
[11]吴冠男,张世民,靳蛟,等.经皮椎间孔镜技术治疗腰椎间盘突出症[J].中国骨伤,2017,30(9):861-865.
[12]蔡鑫,崔志明,李玉前,等.椎间孔镜技术在治疗复发性腰椎间盘突出症的临床效果[J].江苏医药,2017,43(4):285-287.
[13]王翀,姜飞,宋兴华,等.经皮椎间孔镜TESSYS技术与开放手术治疗腰椎间盘突出症疗效及安全性比较[J].新疆医科大学学报,2017,40(10):1288-1292.