经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症
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摘要
目的:研究经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症的临床价值。方法:选取2016年7月-2018年11月本院收治的60例符合单节段腰椎间盘髓核摘除手术指征的腰椎间盘突出症患者作为研究对象,根据随机数字表法分为对照组和治疗组,每组各30例。治疗组采用经皮椎间孔镜TESSYS技术治疗,对照组采用传统椎板开窗髓核摘除术治疗。对比两组治疗后的视觉模拟评分(VAS)、Oswestry功能障碍评定指数(ODI)、日本骨科协会评估治疗分析(JOA)、MacNab疗效、治疗满意度和并发症发生情况。结果:治疗后,治疗组的VAS评分、ODI指数和并发症发生率均明显低于对照组,而治疗组的JOA评分、MacNab优良率、治疗满意度均明显高于对照组,差异均有统计学意义(P<0.05)。结论:对腰椎间盘突出患者实施手术治疗时,采取经皮椎间孔镜TESSYS技术治疗能够显著提升治疗效果,促进患者腰椎功能的恢复,治疗的安全性也有较高的保障,适宜广泛应用于临床治疗中。
Objective:To study the clinical value of percutaneous transforaminal endoscopic TESSYS technique in the treatment of lumbar disc herniation.Method:60 patients with lumbar disc herniation were admitted to our hospital from July 2016 to November 2018 were selected as the study subjects.They were divided into treatment group and control group by random number table method,30 cases in each group.The treatment group was treated with TESSYS technique,and the control group was treated with traditional laminectomy fenestration nucleus pulposus enucleation.The visual analogue scale(VAS),oswestry dysfunction index(ODI),JOA score of lumbar spine function,MacNab efficacy,treatment satisfaction and complications were compared between the two groups.Result:After treatment,the VAS score,ODI index and the incidence of complications in the treatment group were significantly lower than those in the control group,while the JOA score,MacNab excellence rate and treatment satisfaction in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion:Percutaneous transforaminal endoscopy TESSYS technique can significantly improve the therapeutic effect,promote the recovery of lumbar vertebral function,and ensure the safety of treatment.It is suitable for clinical treatment.
Objective:To study the clinical value of percutaneous transforaminal endoscopic TESSYS technique in the treatment of lumbar disc herniation.Method:60 patients with lumbar disc herniation were admitted to our hospital from July 2016 to November 2018 were selected as the study subjects.They were divided into treatment group and control group by random number table method,30 cases in each group.The treatment group was treated with TESSYS technique,and the control group was treated with traditional laminectomy fenestration nucleus pulposus enucleation.The visual analogue scale(VAS),oswestry dysfunction index(ODI),JOA score of lumbar spine function,MacNab efficacy,treatment satisfaction and complications were compared between the two groups.Result:After treatment,the VAS score,ODI index and the incidence of complications in the treatment group were significantly lower than those in the control group,while the JOA score,MacNab excellence rate and treatment satisfaction in the treatment group were significantly higher than those in the control group(P<0.05).Conclusion:Percutaneous transforaminal endoscopy TESSYS technique can significantly improve the therapeutic effect,promote the recovery of lumbar vertebral function,and ensure the safety of treatment.It is suitable for clinical treatment.
引文
[1]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]徐恒,简伟,谷福顺,等.经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症伴或不伴腰椎神经根管狭窄的疗效观察[J].中国微创外科杂志,2018,9(1):39-42.
[3]王翀,姜飞,宋兴华,等.放置引流管对经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症术后疗效及安全性的影响研究[J].中国全科医学,2018,21(15):1823-1827.
[4]王翀,田征,梁青福,等.经皮椎间孔镜TESSYS技术治疗单节段腰椎间盘突出症60例分析[J].中国内镜杂志,2016,22(1):32-36.
[5]丁允知,胡敬男,周勇.经皮椎间孔镜下行TESSYS技术与椎间盘镜下手术治疗腰椎间盘突出症的效果对比[J].颈腰痛杂志,2017,38(5):492-493.
[6]梁磊,刘文德,吴一凡,等.经皮椎间孔镜TESSYS技术治疗单节段腰椎间盘突出症的临床疗效分析[J].中国中医骨伤科杂志,2017,25(2):43-44.
[7]朱辉,原超,张文财,等.经皮椎间孔镜下TESSYS技术配合中药内服治疗腰椎间盘突出症临床疗效观察[J].广州中医药大学学报,2017,34(3):331-334.
[8]聂治军,张文芳,张银刚,等.经皮椎间孔镜下TESSYS技术治疗腰椎间盘突出的近期疗效观察[J].临床骨科杂志,2018,21(2):153-156.
[9]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.
[10]杨利学,高龙,陈英,等.椎间孔镜TESSYS技术治疗腰椎间盘突出症临床疗效研究[J].临床军医杂志,2017,45(9):977-978.
[11]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.
[12]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.
[13]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.
[14]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.
[15]张金虎,陈德喜,张建旭,等.经皮椎间孔镜TESSYS技术与PEID技术治疗L5S1椎间盘突出症的疗效观察[J].中国骨与关节损伤杂志,2016,31(9):929-932.
[16]陈红梅,史美萍,付本升,等.经皮椎间孔镜技术治疗腰椎间盘突出症患者的效果[J].解放军护理杂志,2016,33(7):62-64.
[17]段婉茹,胡岳,齐腾飞,等.经椎板间入路椎间孔镜技术治疗腰椎间盘突出症疗效分析[J].中国现代神经疾病杂志,2016,8(4):62-64.
[18]龙行春,崔丙军,杨磊,等.椎间孔镜技术治疗腰椎间盘突出症的近期疗效分析[J].中国医学创新,2016,13(34):111-114.
[19]范周洪,李娟,聂少平,等.经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床研究[J].中国医学创新,2017,14(32):33-36.
[20]余伟宏,邓锐斌.经皮椎间孔镜术与椎板开窗髓核摘除术治疗腰椎间盘突出症的临床研究[J].中国医学创新,2017,14(28):58-62.
[2]徐恒,简伟,谷福顺,等.经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症伴或不伴腰椎神经根管狭窄的疗效观察[J].中国微创外科杂志,2018,9(1):39-42.
[3]王翀,姜飞,宋兴华,等.放置引流管对经皮椎间孔镜TESSYS技术治疗腰椎间盘突出症术后疗效及安全性的影响研究[J].中国全科医学,2018,21(15):1823-1827.
[4]王翀,田征,梁青福,等.经皮椎间孔镜TESSYS技术治疗单节段腰椎间盘突出症60例分析[J].中国内镜杂志,2016,22(1):32-36.
[5]丁允知,胡敬男,周勇.经皮椎间孔镜下行TESSYS技术与椎间盘镜下手术治疗腰椎间盘突出症的效果对比[J].颈腰痛杂志,2017,38(5):492-493.
[6]梁磊,刘文德,吴一凡,等.经皮椎间孔镜TESSYS技术治疗单节段腰椎间盘突出症的临床疗效分析[J].中国中医骨伤科杂志,2017,25(2):43-44.
[7]朱辉,原超,张文财,等.经皮椎间孔镜下TESSYS技术配合中药内服治疗腰椎间盘突出症临床疗效观察[J].广州中医药大学学报,2017,34(3):331-334.
[8]聂治军,张文芳,张银刚,等.经皮椎间孔镜下TESSYS技术治疗腰椎间盘突出的近期疗效观察[J].临床骨科杂志,2018,21(2):153-156.
[9]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.
[10]杨利学,高龙,陈英,等.椎间孔镜TESSYS技术治疗腰椎间盘突出症临床疗效研究[J].临床军医杂志,2017,45(9):977-978.
[11]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.
[12]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.
[13]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.
[14]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.
[15]张金虎,陈德喜,张建旭,等.经皮椎间孔镜TESSYS技术与PEID技术治疗L5S1椎间盘突出症的疗效观察[J].中国骨与关节损伤杂志,2016,31(9):929-932.
[16]陈红梅,史美萍,付本升,等.经皮椎间孔镜技术治疗腰椎间盘突出症患者的效果[J].解放军护理杂志,2016,33(7):62-64.
[17]段婉茹,胡岳,齐腾飞,等.经椎板间入路椎间孔镜技术治疗腰椎间盘突出症疗效分析[J].中国现代神经疾病杂志,2016,8(4):62-64.
[18]龙行春,崔丙军,杨磊,等.椎间孔镜技术治疗腰椎间盘突出症的近期疗效分析[J].中国医学创新,2016,13(34):111-114.
[19]范周洪,李娟,聂少平,等.经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床研究[J].中国医学创新,2017,14(32):33-36.
[20]余伟宏,邓锐斌.经皮椎间孔镜术与椎板开窗髓核摘除术治疗腰椎间盘突出症的临床研究[J].中国医学创新,2017,14(28):58-62.