摘要
目的探究经皮椎间孔镜下椎间孔扩大成形减压术治疗单侧神经根症状的腰椎管狭窄症的效果。方法采用随机数字表法将100例出现单侧神经根症状的腰椎管狭窄患者分为对照组和观察组,各50例。对照组给予传统开放式减压椎骨植骨融合术,观察组给予经皮椎间孔下椎间孔扩大成形减压术。比较两组治疗效果。结果术后3个月,观察组VAS评分和MDA水平低于对照组,感觉障碍、间歇性跛行评分、SOD水平和生活质量各项评分高于对照组(P<0.05)。观察组临床疗效明显优于对照组(P<0.05)。结论经皮椎间孔镜下椎间孔扩大成形减压术可有效改善单侧神经根症状的腰椎管狭窄患者腰腿疼痛、感觉障碍及间歇性跛行等症状,抑制机体氧化应激反应,提高术后生活质量。
Objective To explore the effect of percutaneous transforaminal endoscopic laminoplasty and decompression on lumbar spinal stenosis with unilateral nerve root symptoms.Methods A total of 100 cases of lumbar spinal stenosis with unilateral nerve root symptoms were divided into control group and observation group by random number table method,with50 cases in each group.The control group was given traditional open decompression vertebral bone graft fusion,and the observation group was given percutaneous transforaminal endoscopic laminoplasty and decompression.The therapeutic effects of the two groups were compared.Results Three months after operation,VAS score and MDA level of the observation group were lower than those of the control group,sensory disturbance,intermittent claudication scores,SOD level and quality of life scores of the observation group were higher than those of the control group(P<0.05).The clinical efficacy of the observation group was significantly better than that of the control group(P<0.05).Conclusion Percutaneous transforaminal endoscopic laminoplasty and decompression can effectively ameliorate the symptoms of lumbar spinal stenosis with unilateral nerve root symptoms,such as lumbocrural pain,sensory disturbance and intermittent claudication,inhibit oxidative stress reaction and improve the quality of life after operation.
作者
杜磊
杜兴国
卫健民
杨宁
DU Lei;DU Xingguo;WEI Jianmin;YANG Ning(Orthopaedics Department,the Hospital of Jingyang County,Xianyang 713700;Orthopaedics Department,Hanzhong CentralHospital,Hanzhong 723000;No.2 Spine Department,Traditional Chinese Medicine Hospital of Baoji,Baoji 721001;Orthopaedics Department,Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《临床医学研究与实践》
2020年第24期5-7,共3页
Clinical Research and Practice
基金
汉中市中心医院院级科研基金项目(No.YK1905)。
关键词
腰椎管狭窄
神经根症状
椎间孔镜
椎间孔扩大成形减压
lumbar spinal stenosis
nerve root symptom
transforaminal endoscopy
transforaminal laminoplasty and decompression
