摘要
目的:探讨超声引导下脊柱内镜治疗腰椎间盘突出症患者的临床效果及对疼痛症状、JOA评分的影响。方法:选取2016年9月-2019年12月本院收治的腰椎间盘突出症患者296例。将患者随机分为对照组和研究组,每组148例。对照组行传统开放手术,研究组行超声引导下脊柱内镜治疗。比较两组临床疗效、临床指标(手术出血量、切口长度、手术和术后下床时间)、穿刺情况、疼痛症状、JOA评分、生存质量评分、满意度。结果:研究组临床总有效率高于对照组,差异有统计学意义(P<0.05)。研究组手术时间、下床活动时间、切口长度均短于对照组,手术出血量少于对照组,差异均有统计学意义(P<0.05)。研究组一次穿刺成功率高于对照组,差异有统计学意义(P<0.05)。术后7 d和术后1个月,研究组的VAS评分均低于对照组,差异均有统计学意义(P<0.05)。术后3、6个月,研究组的JOA评分均高于对照组,差异均有统计学意义(P<0.05)。术后,两组的生存质量各维度评分均高于术前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。研究组满意度高于对照组,差异有统计学意义(P<0.05)。结论:采用超声引导下脊柱内镜治疗腰椎间盘突出症患者的临床效果显著,可以有效改善患者的临床指标、疼痛症状和JOA评分,提高一次穿刺成功率和满意度,提高患者生存质量,应推广应用。
Objective:To investigate the clinical effect of ultrasount-guided spinal endoscopy on patients with lumbar disc herniation and its effect on pain symptoms and JOA score.Method:A total of 296 patients with lumbar disc herniation admitted to our hospital from September 2016 to December 2019 were selected.The patients were randomly divided into control group and study group,148 cases in each group.The control group received traditional open surgery,and the study group received ultrasound-guided spinal endoscopic therapy.Clinical efficacy,clinical indicators (operative blood loss,incision length,operative and postoperative time out of bed),puncture,pain symptoms,JOA score,quality of life score and satisfaction were compared between the two groups.Result:The total clinical effective rate of the study group was higher than that of the control group,the difference was statistically significant (P<0.05).The surgery time,ambulation time and incision length of the study group were shorter than those of the control group,the amount of blood loss during the surgery was less than that in the control group,the differences were statistically significant (P<0.05).The success rate of puncture in the study group was higher than that in the control group,the difference was statistically significant (P<0.05).7 d and 1 month after surgery,VAS scores in the study group were lower than those in the control group,the differences were statistically significant (P<0.05).3 and 6 months after surgery,the JOA scores of the study group were higher than those of the control group,the differences were statistically significant (P<0.05).Postoperatively,the scores of all dimensions of life quality in both groups were higher than those before surgery,and those in the study group were higher than those in the control group,the differences were statistically significant (P<0.05).The satisfaction of the study group was higher than that of the control group,the difference was statistically significant (P<0.05).Conclusion:The clinical effect of endosco
作者
李鹏
沈忠达
LI Peng;SHEN Zhongda(Jiamusi Chinese Medicine Hospital,Jiamusi 154002,China)
出处
《中国医学创新》
CAS
2021年第23期43-47,共5页
Medical Innovation of China
