摘要
目的探讨经皮椎间孔镜下髓核摘除术治疗中老年腰椎间盘突出症的效果。方法方便选取2017年1月—2019年7月在该院接受经皮椎间孔镜下髓核摘除术治疗的32例中老年腰椎间盘突出症患者作为椎间孔镜组,同期选取在该院接受传统椎板开窗髓核摘除术治疗的32例中老年腰椎间盘突出症患者作为传统组;对两组临床资料进行对比分析。结果椎间孔镜组手术时间(71.62±11.05)min vs(81.23±5.61)min、住院时间(16.23±2.53)d vs(21.03±2.15)d、术后卧床时间(6.81±2.03)d vs(15.66±3.01)d均显著短于传统组,差异有统计学意义(t=4.387、8.178、13.789,P<0.05);两组治疗总有效率比较(87.50%vs 81.25%),差异无统计学意义(χ^(2)=0.474,P>0.05);经治疗两组JOA、ODI、QOL-LC评分均得到显著改善,差异有统计学意义(P<0.05);治疗后椎间孔镜组QOL-LC评分显著高于传统组(76.53±3.48)分vs(66.34±3.61)分,差异有统计学意义(t=11.496,P<0.05),但两组JOA、ODI评分比较差异无统计学意义(P>0.05);两组术后各时间点VAS评分均显著低于术前,差异有统计学意义(P<0.05),且术后3个月显著低于术后1周,差异有统计学意义(P<0.05);术前及术后3个月两组VAS评分比较差异无统计学意义(P>0.05),术后1周椎间孔镜组VAS评分显著低于传统组(2.53±0.61)分vs(3.68±0.51)分,差异有统计学意义(t=8.182,P<0.05)。结论经皮椎间孔镜下髓核摘除术治疗中老年腰椎间盘突出症与传统椎板开窗髓核摘除术的疗效相当,但可显著缩短手术时间、降低患者术后疼痛、促进术后恢复、提升术后生活质量,安全有效,值得临床借鉴推广。
Objective To investigate the effect of percutaneous foraminal nucleus pulposus in the treatment of middle-aged and elderly patients with lumbar disc herniation.Methods From January 2017 to July 2019,32 middle-aged and elderly patients with lumbar disc herniation who underwent percutaneous foraminal nucleus extraction in the hospital were conveniently selected as the foraminal endoscopy group,and 32 middle-aged and elderly patients with lumbar disc herniation were selected in our hospital at the same time treated by traditional laminectomy and nucleus pulposus were treated as the traditional group;the clinical data of the two groups were compared and analyzed.Results Operation time(71.62±11.05)min vs(81.23±5.61)min,hospitalization time(16.23±2.53)d vs(21.03±2.15)d,postoperative bedtime(6.81±2.03)d vs(15.66±3.01)d were significantly shorter than the traditional group,the difference was statistically significant(t=4.387,8.178,13.789,P<0.05);the total effective comparison between the two groups(87.50%vs 81.25%),was not statistically significantly different(χ^(2)=0.474,P>0.05);after two treatments,the JOA,ODI,and QOL-LC scores in the group were significantly improved,the difference was statistically significant(P<0.05);after treatment,the QOL-LC score in the foraminal endoscopy group was significantly higher than that in the traditional group(76.53±3.48)points vs(66.34±3.61)points,the difference was statistically significant(t=11.496,P<0.05),but the JOA and ODI scores of the two groups were not statistically significantly different(P>0.05);the VAS scores of the two groups were significantly lower at each time point after surgery,the difference was statistically significant(P<0.05),and were significantly lower at 3 months after surgery than one week after operation,the difference was statistically significant(P<0.05);there was no statistically significant difference in VAS scores between the two groups before and 3 months after operation(P>0.05).The VAS score in the foraminal endoscopy group was significantly
作者
陈海军
柏玲
CHEN Hai-jun;BAI Ling(Department of Orthopedics,the First People's Hospital of Shizuishan,Shizuishan,Ningxia Hui Autonomous Region,753200 China;Department of Obstetrics and Gynecology,the First People's Hospital of Shizuishan City,Shizuishan Hui Autonomous Region,Ningxia,753200 China)
出处
《中外医疗》
2021年第7期4-7,共4页
China & Foreign Medical Treatment
基金
微创椎间孔镜治疗中老年腰椎间盘突出症及部分椎管狭窄症的临床应用研究(2017-36b)。
关键词
腰椎间盘突出症
中老年
椎间孔镜
椎板开窗髓核摘除术
Lumbar disc herniation
Middle-aged and elderly
Foraminal endoscopy
Lamina fenestration and nucleus pulposus
