摘要
目的:探究局部麻醉下靶向全内窥镜可视化锥板钻孔术治疗腰椎间盘突出症的临床应用价值。方法:选择2020年4月-2022年9月我院收治r70例腰椎间盘突出症患者作为研究对象,按照随机数字表法分为研究组和对照组,各35例。研究组采用局部麻醉下靶向全内窥镜可视化椎板钻孔术治疗,对照组采用常规经皮内镜腰椎间盘切除术治疗,对比2组患者治疗总有效率、手术时间、术中出血量、术后患者卧床时间,及治疗前后日本骨科学会(JOA)评分、视觉模拟量表(VAS)评分和Oswestry功能障碍指数问卷表(ODI)评分。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组患者术中出血量比对照组少,并且手术时间及术后卧床时间也比对照组短,组间差异均有统计学意义(P<0.05)。治疗前2组患者的JOA评分及VAS评分比较,组间差异无统计学意义(P>0.05),治疗后研究组患者的VAS评分低于对照组,JOA评分高于对照组,组间差异均有统计学意义(P<0.05)。治疗前2组患者ODI评分比较,差异无统计学意义(P>0.05),治疗后1、3、6个月研究组ODI评分明显低于对照组,组间差异有统计学意义(P<0.05)。结论:对腰椎间盘突出症患者实施局部麻醉下靶向全内窥镜可视化锥板钻孔术,有助于提高临床疗效,减少术中出血量、手术及术后卧床所需时间,降低患者疼痛度,改善患者腰椎功能。
Objective:To explore the clinical application value of total endoscopic visualization cone-plate drilling under local anesthesia in the treatment of lumbar disc herniation.Methods:70 patients with lumbar disc herniation in our hospital from April 2020 to September 2022 were selected as research objects and divided into a study group and a control group according to random number table method,with 35 cases in each group.The study group was treated with targeted total endoscopic visual laminectomy under local anesthesia,while the control group was treated with routine percutaneous endoscopic lumbar discectomy.The total effective rate,operation time,intraoperative blood loss,and postoperative bed time of patients were compared between the two groups.Japanese Orthopaedic Society(JOA)score,Visual Analogue Scale(VAS)score and Oswestry Disability Index(ODI)score before and after treatment.Results:The total effective rate of the study group was higher than that of the control group,and the difference between the groups was statistically significant(P<0.05).The amount of intraoperative blood loss in the study group was less than that in the control group,and the operation time and postoperative bed time were also shorter than that in the control group,with statistical significance(P<0.05).Before treatment,there were no significant differences in the JOA score and VAS score between the two groups(P>0.05).After treatment,the VAS score of the study group was lower than that of the control group,and the JOA score was higher than that of the control group,with statistically significant differences between the two groups(P<0.05).There was no statistical significance in ODI scores between the two groups before treatment(P>0.05),and ODI scores in the study group were significantly lower than those in the control group at 1,3 and 6 months after treatment,with statistical significance between the two groups(P<0.05).Conclusion:The implementation of total endoscopic visualization cone-plate drilling under local anesthesia in patients
作者
陶慧
TAOHui(Department of anesthesia 1,Inner Mongolia autonomous region people's hospital,Hohhot,Inner Mongolia 010010)
出处
《中国伤残医学》
2024年第12期34-37,共4页
Chinese Journal of Trauma and Disability Medicine
关键词
局部麻醉
靶向全内窥镜
可视化椎板钻孔术
治疗效果
疼痛度
腰椎功能
Local anesthesia
Targeted total endoscope
Visual laminectomy
Therapeutic effect
Degree of pain
Lumbar function
