摘要
目的探讨经皮椎间孔镜髓核摘除术(PTED)与显微镜下髓核摘除术(Micro)治疗腰椎间盘突出症 (LDH)的疗效。方法纳入单节段LDH患者68例,按手术方式分为PTED组和Miero组。比较2组的手术时 间、切口长度、术后住院时间、术后肌酸激酶(CK)水平、术后疼痛视觉模拟评分(VAS)、Oswestry功能障碍指数 (0DI)。结果与Micro组比较,PTED组切口小,术后血清CK水平低,术后住院时间短(P<0.05)。随访6个月,2组患者术后VAS评分及0DI指数均较术前降低(P<0.05);术后1周,PTED组VAS评分和0DI指数均低 于Micro组(P<0.05)。结论PTED与Micro治疗LDH均能获得良好的疗效;但PTED在术中创伤更小,恢复更 快,术后住院时间更短。
Objective To compare the therapeutic effect between percutaneous transforaminal endoscopic discectomy(PTED)and microscopic nucleus pulposus excision(Micro)in the treatment of lumbar disc herniation(LDH).Methods A total of 68 patients with single-segment lumbar disc herniation were included and divided into PTED group and Micro group according to the surgical method.The operative time,incision length,postoperative hospitalization time,postoperative creatine kinase(CK)level,postoperative pain Visual Analogue Scale(VAS)and Oswestry Dability Index(ODI)were compared between the two groups.Results Compared with the Micro group,the PTED group had smaller incision,lower creatine kinase level and shorter postoperative hospitalization time(P<0.05).After 6 months of follow-up,VAS and ODI in both groups were lower than those before operation(P<0.05).VAS and ODI in the 2 groups were lower than before(P<0.05).One week after operation,the VAS score and ODI index in the PTED group were lower than those in the Micro group(P<0.05).Conclusions In the treatment of lumbar disc herniation,both PTED and Micro can achieve good theraputic effect,but PTED has less trauma,quicker recovery and shorter postoperative hospital stay.
作者
彭琨翔
袁峰
朱俊
许飞虎
罗建军
PENG Kunxiang;YUAN Feng;ZHU Jun;XU Feihu;LUO Jianjun(Graduate School,Xuzhou Medical University,Xuzhou,Jiangsu 221004,China;Department of Spinal Surgery,the Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu 221002)
出处
《徐州医科大学学报》
CAS
2019年第7期518-521,共4页
Journal of Xuzhou Medical University
关键词
腰椎间盘突出症
经皮椎间孔镜髓核摘除术
显微镜下髓核摘除术
疗效分析
lumbar disc herniation
percutaneous transforaminal endoscopic discectomy
microscopic nucleus pulposus excision
therapeutic effect analysis
