摘要
目的探讨经皮椎间孔镜椎间盘切除术(PTED)在腰椎间盘突出症(LDH)患者中的应用效果。方法选取2021年6月-2023年6月我院收治的70例LDH患者为研究对象,按随机数字表法将其分为对照组和观察组,每组35例。对照组行椎板开窗髓核摘除术(FD),观察组行PTED。对比两组患者的手术相关指标、疼痛程度、腰椎功能、并发症发生率及生活质量。结果观察组手术时间(59.87±6.41)min、术后下床活动时间(1.82±0.34)h、住院时间(5.09±1.12)d均短于对照组的(72.11±7.43)min、(3.44±0.57)h、(7.53±1.47)d,术中出血量(22.39±4.05)mL少于对照组的(28.42±3.76)mL,切口长度(0.64±0.10)cm短于对照组的(4.33±1.59)cm,并发症发生率5.71%低于对照组的22.86%,疼痛视觉模拟评分(1.57±0.31)分、Oswestry功能障碍指数评分(12.01±2.15)分均低于对照组的(2.69±0.78)分、(18.55±3.30)分,世界卫生组织生存质量测定量表中生理领域评分(78.22±5.14)分、心理领域评分(80.32±5.40)分、社会关系领域评分(88.31±4.27)分、环境领域评分(85.38±5.01)分均高于对照组的(70.57±6.47)分、(71.38±7.87)分、(80.36±5.15分)、(76.12±6.72)分,组间差异有统计学意义(P<0.05)。结论PTED治疗LDH效果显著,可减轻患者腰椎疼痛,缓解功能障碍,且并发症少,能提高患者生活质量。
Objective To explore the application effect of Percutaneous transforaminal endoscopic discectomy(PTED)in patients with lumbar disc herniation(LDH).Methods 70 LDH patients admitted to our hospital from June 2021 to June 2023 were selected as the study objects and randomly divided into a control group and an observation group,with 35 patients in each group.The control group underwent fenestration discectomy(FD),while the observation group underwent PTED.Compare surgical related indicators,degree of pain,lumbar function,incidence of complications,and quality of life.Results The results showed that the observation group had shorter surgical time(59.87±6.41)min,postoperative ambulation time(1.82±0.34)h,and hospital stay(5.09±1.12)d compared to the control group's(72.11±7.43)min,(3.44±0.57)h,and(7.53±1.47)d.The intraoperative bleeding volume was(22.39±4.05)mL,lower than the control group's(28.42±3.76)mL,and the incision length was(0.64±0.10)cm,shorter than the control group's(4.33±1.59)cm,the incidence of complications was 5.71%,lower than the 22.86%in the control group,the pain Visual Analog Scale score(1.57±0.31)points and Oswestry Dysfunction Index score(12.01±2.15)points were lower than the control group's(2.69±0.78)points and(18.55±3.30)points,the World Health Organization Quality of Life-BREF Scale pointsshowed higher scores in the physiological field(78.22±5.14)points,psychological field(80.32±5.40)points,social field(88.31±4.27)points,and environmental field(85.38±5.01)points compared to the control group(70.57±6.47)points,(71.38±7.87)points,(80.36±5.15)points,and(76.12±6.72)points,the differences between groups were statistically significant(P<0.05).Conclusion PTED has a significant effect on treating LDH,reducing the degree of lumbar pain and dysfunction,with fewer complications,and improving the quality of life of patients.
作者
孙绍勇
王秀芝
SUN Shaoyong;WANG Xiuzhi(Department of Orthopedic,The Second People's Hospital of Chiping District,Liaocheng City,Liaocheng Shandong,252000,China)
出处
《反射疗法与康复医学》
2023年第21期112-114,121,共4页
Reflexology And Rehabilitation Medicine
关键词
腰椎间盘突出症
经皮椎间孔镜椎间盘切除术
疼痛程度
腰椎功能
并发症
Lumbar disc herniation
Percutaneous transforaminal endoscopic discectomy
Degree of pain
Lumbar function
Complications
