摘要
目的探讨经皮椎间孔镜腰椎间盘摘除术治疗腰椎间盘突出症的临床疗效及对患者腰椎功能恢复的影响.方法将92例腰椎间盘突出症患者按照随机区组设计分为观察组和对照组,各46例.观察组给予经皮椎间孔镜腰椎间盘摘除术治疗,对照组给予经Quadrant通道Mis-TLIF手术治疗,术后观察6个月.比较两组患者手术时间、术中出血量、术后引流量、手术切口长度、住院时间,比较手术前后两组视觉模拟评分法及Oswestry功能障碍指数问卷表评分,比较两组手术并发症发生率.结果 观察组手术时间及住院时间显著短于对照组(P<0.01),术后出血量及术后引流量显著少于对照组(P<0.01),手术切口长度显著短于对照组(P<0.01).术后1周末起两组视觉模拟评分法评分均较术前显著持续降低(P<0.01),术后1周末观察组评分显著低于对照组(P<0.01),术后3个月末及6个月末两组评分比较差异无统计学意义(P>0.05).术后1个月末起两组Oswestry功能障碍指数问卷表评分均较术前显著持续降低(P<0.01),术后1个月末及3个月末观察组评分显著低于对照组(P<0.01),术后6个月末两组评分比较差异无统计学意义(P>0.05).两组并发症发生率比较差异无统计学意义(P>0.05).结论经皮椎间孔镜腰椎间盘摘除术治疗腰椎间盘突出症效果显著,手术时间短,创伤小,可以有效缓解患者疼痛,有助于尽快恢复腰椎功能.
Objective To investigate the effect of PELD in the treatment of lumbar disc herniation and its effect on the recovery of lumbar spine function.Methods 92 patients with LDH were selected and randomly divided into observation group and control group with 46 cases in each group.The observation group was treated with PELD and the control group was treated with Mis-TLIF via Quadrant channel.The operation time,bleeding volume,drainage volume,incision length,length of hospital stay were compared between the two groups.The VAS and ODI scores of the two groups before and after the operation were compared,and the incidence of surgical complications between the two groups was compared.Results The operation time and hospitalization time of the observation group were significantly shorter than that of the control group(P<0.01),postoperative bleeding volume and postoperative drainage volume were significantly less than the control group(P<0.01),and the length of surgical incision was significantly shorter than the control group(P<0.01).From 1 week after surgery,the VAS scores of the two groups were significantly and continuously decreased(P<C0.01).and the observation group scores were significantly lower than the control group(P<0.01).At the end of 3 months and 6 months after the operation,there was no significant difference in the scores between the two groups(P>0.05).From the end of 1 month after operation,the ODI scores of both groups continued to decrease significantly(P<0.01).The scores of the observation group at the end of 1 month and 3 months after operation were significantly lower than those of the control group(P<0.01).At the end of 6 months after operation,there was no significant difference in the scores between the two groups(P>0.05).There was no statistically vsignificant difference in the incidence of complications between the two groups(P>0.05).Conclusions PELD is effective in treating lumbar disc herniation,with short operation time and less trauma,which can effectively relieve patients pain and hel
作者
苏彩风
李海军
赵学寨
张仕锋
李岩
刘明辉
张小雷
Su Caifeng;Li Haijun;Zhao Xuezhai;Zhang Shifeng;Li Yan;Liu Minghui;Zhang Xiaolei(Pingdingshan Second People’s Hospital,Pingdingshan 467000,Henan,China)
出处
《临床心身疾病杂志》
CAS
2020年第4期25-28,共4页
Journal of Clinical Psychosomatic Diseases
