摘要
目的探讨经皮椎间孔镜下经椎间孔脊柱内镜系统(transforaminal endoscopic spine system,TESSYS)技术对腰椎间盘突出症患者腰椎结构参数及运动功能的影响。方法回顾性分析50例腰椎间盘突出症患者的临床资料,按照治疗方法不同分为对照组和观察组,每组25例,观察组给予经皮椎间孔镜TESSYS术治疗,对照组给予椎间盘镜技术治疗,比较2组患者的围术期相关指标、腰椎结构参数、运动功能、术后并发症发生情况。结果观察组术中出血量、切口长度、首次下地时间、住院时间少于或短于对照组,差异有统计学意义(P<0.05);2组患者手术时间差异无统计学意义(P>0.05)。术后6个月,2组腰骶角小于术前,L_(5)/S_(1)关节突关节角、、腰椎曲度L_(2~3)关节突关节角,L_(3~4)关节突关节角,L_(4~5)关节突关节角大于术前,观察组腰骶角小于对照组,L5S1关节突关节角、、腰椎曲度L_(2~3)关节突关节角,L_(3~4)关节突关节角,L_(4~5)关节突关节角大于对照组,差异有统计学意义(P<0.05)。术后1个月,2组Oswestry功能障碍指数(Oswestry disability index,ODI)评分低于术前,JOA评分高于术前,观察组日本骨科协会(Japanese Orthopaedic Association,JOA)评分低于对照组,JOA评分高于对照组,差异有统计学意义(P<0.05)。2组并发症发生率差异无统计学意义(P>0.05)。结论经皮椎间孔镜TESSYS术治疗腰椎间盘突出症患者,手术切口小、术中流血少,术后恢复快,可显著改善腰椎间盘突出症状,安全性较高。
Objective To explore the effects of transforaminal endoscopic spine system(TESSYS)technique under percutaneous foraminal endoscopy on structure parameters of the lumbar vertebra and motor function of patients with lumbar disc herniation(LDH).Methods A retrospective analysis was performed on the clinical data of 50 patients with LDH.The patients were divided into control group(n=25)and observation group(n=25)according to different treatment methods.The observation group was treated using percutaneous transforaminal endoscopy TESSYS,and the control group was treated using intervertebral disc endoscope.Perioperative related indexes,structure parameters of lumbar vertebrae,motor function and postoperative complications were compared between two groups.Results The intraoperative blood loss,length of incision,first ambulation and length of hospital stay of the observation group were less or shorter than those of the control group(P<0.05).There was no significant difference in duration of operation between two groups(P>0.05).At 6 months after operation,lumbosacral angle of the two groups was smaller than that before operation;L5/S1 zygapophysial joint angle,L2-3 zygapophysial joint angle,L3-4 zygapophysial joint angle,L4-5 zygapophysial joint angle or lumbar curvature were larger than those before treatment;lumbosacral angle was smaller in the observation group than in the control group,while L5/S1 zygapophysial joint angle,L2-3 zygapophysial joint angle,L3-4 zygapophysial joint angle,L4-5 zygapophysial joint angle or lumbar curvature were larger in the observation group than in the control group(P<0.05).At 1 month after operation,Oswestry disability index(ODI)score was lower than that before operation,while Japanese Orthopaedic Association(JOA)score was higher than that before operation;the ODI score of the observation group was lower than that of the control group and the JOA score was higher than that of the control group at 1 month after operation(P<0.05).There was no significant difference in the incidence of compl
作者
王春虎
莫南文
莫方良
WANG Chun-hu;MO Nan-wen;MO Fang-liang(Department of Orthopedics, Qionghai Hospital of Traditional Chinese Medicine, Hainan Province, Qionghai 571400, China)
出处
《河北医科大学学报》
CAS
2021年第12期1426-1431,共6页
Journal of Hebei Medical University
关键词
椎间盘移位
经皮椎间孔镜TESSYS术
腰椎结构参数
运动功能
intervertebral disc displacement
percutaneous foraminal endoscopy TESSYS
structure parameters of lumbar vertebrae
motor function
