摘要
目的对比全内镜I SEE技术与椎板间开窗髓核摘除术治疗腰椎间盘突出症(lumnbar disc herniation,LDH)的效果。方法选取2018年11月-2020年1月三明市第二医院收治的72例LDH患者为研究对象,根据手术方式分为内镜组和对照组各36例。内镜组采用全内镜I SEE技术髓核摘除术,对照组接受小切口椎板间开窗髓核摘除术,采用视觉模拟评分(VAS)评估疼痛程度,比较2组切口长度、手术时间、住院时间、手术出血量、卧床时间,术前和术后1 d、3 d、7 d VAS评分以及2组并发症发生率。结果内镜组切口长度、住院时间、手术出血量、卧床时间、以及术后1 d、3 d、7 d的VAS评分、术后并发症低于对照组(P<0.05)。结论LDH患者应用全内镜I SEE技术髓核摘除术,可显著缩短患者恢复时间及住院时间,术后效果确切,术后并发症发生率低。
Objective To compare the effects of full endoscopic I SEE technique and laminectomy and discectomy in the treatment of lumbar disc herniation.Methods 72 cases of LDH patients in our hospital from November 2018 to January 2020 were selected as the research objects,and they were divided into endoscopic group and control group according to the operation methods,with 36 cases in each group.The endoscopic group was treated with total endoscopic I SEE technique,while the control group was treated with small incision interlaminar fenestration.Visual analogue scale(VAS)was used to evaluate the degree of pain.The incision length,operation time,hospital stay,blood loss,bed rest time,VAS score before and after operation 1d,3d,7d and the incidence of complications were compared between the two groups.Results The length of incision,length of hospital stay,blood loss,bed rest time,postoperative complications,VAS score on 1 d,3 d,7d and postoperative complications of endoscopic group were lower than those of control group(P<0.05).Conclusion The application of total endoscopic I SEE technique in patients with LDH can significantly shorten the recovery time and hospitalization time,with definite postoperative effect and low incidence of postoperative complications.
作者
张天荣
林榕镔
陈明升
Zhang Tianrong;Lin Rongbin;Chen Mingsheng(The Sanming Second Hospital,Sanming,Fujian 366000)
出处
《基层医学论坛》
2022年第22期19-21,28,共4页
The Medical Forum
