摘要
目的观察椎间孔镜治疗腰椎间盘突出症临床疗效。方法 2014年3月~2016年1月,抽取在我院收治的80例腰椎间盘突出症患者,根据不同的术式进行分组,对照组采取开窗髓核摘除手术进行治疗,观察组采用椎间孔镜进行治疗。比较两组患者的腰腿疼痛程度、Oswestry功能障碍指数(ODI评量表)及术后并发症等。结果 (1)和治疗前比较,两组患者术后腰腿疼痛评分(VAS评分)和ODI评分均明显减少,治疗前和治疗后的数据比较差异有统计学意义(P<0.05)。两组治疗后腰腿疼痛评分(VAS评分)和ODI评分比较差异无统计学意义(P>0.05)。(2)观察组治疗优良率达到95%,对照组治疗优良率达到70%,两组比较差异有统计学意义(P<0.05)。(3)与术前比较,两组患者术后1个月、术后6个月、术后1年Oswestry功能障碍指数明显更低,数据比较差异具有统计学意义(P<0.05);与对照组比较,观察组术后6个月Oswestry功能障碍指数明显更低,术后1年Oswestry功能障碍指数明显更低,数据比较差异具有统计学意义(P<0.05)。两组间术后1个月Oswestry功能障碍指数比较差异无统计学意义(P>0.05)。(4)与对照组(32.5%)对比,观察组并发症发生率(12.5%)明显更低,两组数据的比较差异具有统计学意义(P<0.05)。结论椎间孔镜治疗腰椎间盘突出症临床疗效显著,安全可靠,并发症少,有利于患者预后的改善,值得临床广泛应用以及推广。
Objective To observe the clinical effect of intervertebral foramen in the treatment of lumbar disc herniation. Methods 80 patients with lumpar disc herniation from March 2014 to January 2016 were selected. According to different surgical procedures,they were divided into control group （treated with fenestration discectomy） and observation group （treated with intervertebral foramina）.Waist and leg pain,Oswestry disability index （ODI） and postoperative complications of the two groups were compared. Results （1）Compared with before treatment,postoperative pain score（VAS score） and ODI score of the two groups after treatnlent were significantly reduced,the difference was significant（P 〈 0.05）.There was no significant＇difference between the two groups in treatment of waist and leg pain score（VAS score） and ODI score.（2）The excellent and good rate of the observation group was 95%,and the excellent rate of treatment in the control group was up to 70%,and the difference between the two groups was not significant（P 〈 0.05）.（3）Compared with preoperative,Oswestry dysfunction indexes after surgery for 1 month, 6 months after operation,postoperative 1 year, of two groups were significantly lower,the.：difference was statistically significant （P 〈 0.05）.Compared with the control group,Qswestry dysfunction index in observation group 6 months after operation was significantly lower,postoperative Oswestry dysfunction index was significantly lower the 1 year after operation,the difference was statistically significant（P 〈 0.05）.There was no significant difference in Oswestry dysfunction index between the two groups at months after operation（P〉0.05）.（4）Compare with the control group（32.5%）,the incidence of complications in the observation group（12.5%） was significantly lower,the difference between the two groups was statistically significant （P 〈 0.05）. Conclusion The clinical effect of transforaminal lumbar discectomy for lumbar disc herniation is significant.It is safe and reliable.It has less complications.It is conducive to the improvement of the prognosis of patients.h is worthy of clinical application and promotion.
出处
《中国医药科学》
2017年第7期184-186,203,共4页
China Medicine And Pharmacy
基金
广东省深圳市科技计划项目(200903049)
关键词
椎间孔镜
腰椎间盘突出症
开窗髓核摘除手术
Intervertebral foramina
Prolapse of lumbar intervertebral disc
Fenestration discectomy
