摘要
目的分析腰椎间盘突出并腰椎管狭窄症患者行椎间孔镜技术与骨科开放手术的治疗价值。方法选取2017年1月至2019年1月在本院接受治疗的腰椎间盘突出并腰椎管狭窄症患者100例,随机分为两组,每组50例。开放组患者行传统开放手术,孔镜组患者行椎间孔镜手术,比较两组患者围手术期指标、VAS评分及腰椎功能改善状况。结果孔镜组患者手术时间、出血量、住院时间均低于开放组(P<0.05);术后6个月,孔镜组患者腰痛VAS评分低于开放组(P<0.05),两组腿痛VAS评分比较差异无统计学意义;术后6个月,孔镜组患者JOA评分、ODI评分均优于开放组(P<0.05)。结论腰椎间盘突出并腰椎管狭窄症患者行椎间孔镜技术,可改善患者围手术期指标、患者VAS评分及腰椎功能,值得临床推广应用。
Objective To analyze the therapeutic value of intervertebral foramina technique and orthopedic open surgery in patients with lumbar disc herniation and lumbar spinal stenosis. Methods 100 patients with lumbar disc herniation and lumbar spinal stenosis who were treated in our hospital from January 2017 to January 2019 were randomly divided into two groups, with 50 cases in each group. Patients in the open group received traditional open surgery, while patients in the foramina group received foramina surgery. Perioperative indicators, VAS score and lumbar function improvement were compared between the two groups. Results The operative time, blood loss and length of hospital stay in the perforoscope group were all lower than those in the open group(P<0.05). 6 months after surgery, the low back pain VAS score of patients in the foramentoscope group was lower than that of the open group(P<0.05), and there was no statistically significant difference in the VAS score of leg pain between the two groups. 6 months after the operation, JOA score and ODI score of patients in the perforoscope group were better than those in the open group(P<0.05). Conclusion Intervertebral foramina technique can improve perioperative indicators, VAS score and lumbar function in patients with lumbar disc herniation and lumbar spinal stenosis, and is worthy of clinical application.
作者
刘燕荣
Liu Yanrong(Department of Orthopedics,First Hospital of Shanxi Medical University,Taiyuan,Shanxi,030001,China)
出处
《当代医学》
2020年第26期96-98,共3页
Contemporary Medicine
关键词
椎间孔镜技术
骨科开放手术
腰椎间盘突出
腰椎管狭窄症
价值
Intervertebral foramen mirror technology
Orthopaedic open surgery
Lumbar disc
Lumbar spinal stenosis disease
Value
