摘要
目的探讨椎间孔减压治疗腰椎管狭窄症的临床效果。方法 抽取2012年9月~2014年5月到首都医科大学附属北京潞河医院实施诊治的84例椎间孔型腰椎管狭窄症患者作为研究对象,基于手术方法的不同,将其划分为对照组与研究组,每组42例,对照组患者采用传统手术治疗,研究组患者经皮椎间孔镜下实施椎间孔减压治疗,对比和分析两组患者手术时间、住院时间、术中出血量、切口疼痛评分及ODI评分。结果 对照组手术时间为（90.3±25.4）min,住院时间为（9.3±3.4）d,术中出血量为（200.3±20.4）m L,切口疼痛评分为（7.41±1.47）分,术前ODI评分为（31.68±9.26）分,术后ODI评分为（19.44±2.61）分;研究组手术时间为（60.3±15.4）min,住院时间为（4.3±1.4）d,术中出血量为（12.6±5.6）m L,切口疼痛评分为（2.08±1.03）分,术前ODI评分为（29.34±11.56）分,术后ODI评分为（11.05±3.59）分。与对照组比较,研究组手术时间与住院时间短,术中出血量少,切口疼痛评分和术后ODI评分低,差异有统计学意义（P〈0.05）。结论 采用椎间孔减压治疗腰椎管狭窄症,对于脊柱稳定结构所产生的破坏小,创伤小,术中出血量少,疼痛轻,术后恢复快,具有应用推广价值。
Objective To discuss clinical effect of transforaminal decompression in the treatment of lumbar foraminal stenosis. Methods From September 2012 to May 2014, 84 patients diagnosed with intervertebral pass lumbar foraminal stenosis in Beijing Luhe Hospital Affiliated to Capital Medical University were selected as study objects and divided into control group and study group according to different surgical methods, with 42 patients in each group. Patients in control group received traditional decompression surgery, while those in study group were operated with percutaneous transforaminal endoscopic discectomy. Operation time, hospitalization time, intraoperative blood loss, incision pain score and ODI score between two groups were compared and analyzed. Results Operation time, hospitalization time, intraop- erative blood loss, incision pain score, preoperative ODI score and postoperative ODI score in control group was （90.3± 25.4） min, （9.3±3.4） d, （200.3±20.4） mL, （7.41±1.47） points, （31.68±9.26） points, （19.44±2.61） points respectively. Op- eration time, hospitalization time, intraoperative blood loss, incision pain score, preoperative ODI score and postopera- tive ODI score in study group was （60.3±15.4） min, （4.3±1.4） d, （12.6±5.6） mL, （2.08±1.03） points, （29.34±11.56） points, （11.05±3.59） points respectively. Compared with control group, study group had shorter operation time and hospitaliza- tion time, less intraoperative blood loss, lower incision pain score and postoperative ODI score, the differences were statistically significant （P 〈 0.05）. Cortehmion Transforaminal decompression in the treatment of lumbar foraminal steno- sis causes minor damage to the spinal stabilization structure, with less intraoperative blood loss, lighter pain and faster recovery, which has obivous application value.
出处
《中国医药导报》
CAS
2015年第21期46-50,共5页
China Medical Herald
关键词
椎间孔减压
腰椎管狭窄症
疼痛
Transforaminal decompression
Lumbar spinal stenosis
Pain
