经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果观察
赵立新;
摘要(Abstract)：
目的:观察经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的临床效果。方法:选取92例腰椎间盘突出症患者作为观察对象,依据随机数字表法将其分为观察组和对照组各46例,观察组采用经皮椎间孔镜下髓核摘除术治疗,对照组采用椎板开窗髓核摘除术治疗。比较两组术中及术后基本情况;术后1 d、术后2 d及术后1周疼痛情况;术后6个月评估临床优良率;并观察两组术后并发症情况。结果:观察组术中出血量明显少于对照组,首次下床活动时间及住院时间均明显短于对照组,差异均有统计学意义(P<0.05);两组手术时间比较,差异无统计学意义(P>0.05);术后1 d、2 d及1周观察组VAS评分均明显低于对照组,差异有统计学意义(P<0.05)。两组临床优良率比较,差异无统计学意义(P>0.05);观察组并发症发生率为4.35%(2/46),明显低于对照组的21.74%(10/46),差异有统计学意义(P<0.05)。结论:经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症效果显著,可明显减少术中出血量,减轻术后疼痛,且可减少术后并发症发生率,促进术后恢复。
关键词(KeyWords)： 腰椎间盘突出症;经皮椎间孔镜下髓核摘除术
基金项目(Foundation):
作者(Authors): 赵立新;
参考文献(References)：
- [1]Li J,Ma C,Li Y,et al.A comparison of results between percutaneous transforaminal endoscopic discectomy and fenestration discectomy for lumbar disc herniation in the adolescents[J].Zhonghua Yi Xue Za Zhi,2015,95(47):3852-3855.
- [2]王翀,田征,梁青福,等.经皮椎间孔镜TESSYS技术治疗单节段腰椎间盘突出症60例分析[J].中国内镜杂志,2016,22(1):32-36.
- [3]Gu YT,Cui Z,Shao HW,et al.Percutaneous transforaminal endoscopic surgery(PTES)for symptomatic lumbar disc herniation:A surgical technique,outcome,and complications in209 consecutive cases[J].J Orthop Surg Res,2017,12(1):25.
- [4]郑振阳,孙兆忠,郑建民,等.经皮椎间孔镜下髓核摘除术治疗老年腰椎间盘突出症的疗效分析[J].中国矫形外科杂志,2016,24(23):2188-2191.
- [5]Kapetanakis S,Giovannopoulou E,Charitoudis G,et al.Transforaminal Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation in Parkinson's Disease:A Case-Control Study[J].Asian Spine J,2016,10(4):671-677.
- [6]任佳彬,韩雪馨,孙兆忠,等.经皮椎间孔镜下与椎板间开窗椎间盘切除术治疗腰椎间盘突出症的Meta分析[J].中国矫形外科杂志,2017,25(3):236-242.
- [7]Zheng C,Wu F,Cai L.Transforaminal percutaneous endoscopic discectomy in the treatment of far-lateral lumbar disc herniations in children[J].Int Orthop,2016,40(6):1099-1102.
- [8]金丹杰,徐南伟,赵国辉,等.经皮椎间孔镜与椎板开窗椎间盘切除术治疗腰椎间盘突出症的前瞻性随机对照研究[J].中国微创外科杂志,2017,17(6):491-494.
- [9]Sinkemani A,Hong X,Gao ZX,et al.Outcomes of Microendoscopic Discectomy and Percutaneous Transforaminal Endoscopic Discectomy for the Treatment of Lumbar Disc Herniation:A Comparative Retrospective Study[J].Asian Spine J,2015,9(6):833-840.
- [10]丁伟国,徐卫星,卢笛,等.经皮椎间孔镜与开放椎板间开窗术治疗腰椎间盘突出症的疗效分析[J].中国内镜杂志,2016,22(4):43-48.