经椎间孔侧壁内窥镜手术治疗腰椎间盘突出症的临床效果

Weiya Zhang
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引用次数: 0

摘要

目的:分析经椎间孔外窥镜手术治疗腰椎间盘突出症的疗效。方法:将2019年1月至2020年6月在盐城市第一人民医院就诊的44例腰椎间盘突出症患者随机分为两组;A组24例采用侧孔内窥镜手术治疗,B组20例采用常规椎板开窗加髓核手术治疗。结果:A组疗效(91.67%)明显高于B组(85.0%),P>0.05;直腿抬高角度A组与B组比较差异无统计学意义(P>0.05);A组的Oswestry残疾指数(ODI)和视觉模拟评分(VAS)均低于B组(P<0.05);A组切口长度、术中出血量、住院时间均优于B组,P<0.05。结论:腰椎间盘突出症患者经侧孔内镜手术可明显减轻疼痛,改善症状,有助于早期恢复正常功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Effect of Lateral Transforaminal Endoscopic Surgery in the Treatment of Lumbar Disc Herniation
Objective: To analyze the efficacy of lateral transforaminal endoscopic surgery in the treatment of lumbar disc herniation. Methods: A total of 44 patients with lumbar disc herniation, treated in Yancheng No.1 People’s Hospital from January 2019 to June 2020, were randomly divided into two groups; the 24 patients in group A were treated by lateral transforaminal endoscopic surgery, while the 20 patients in group B were treated by routine lamina fenestration and nucleus pulposus surgery. Results: The curative effect of group A (91.67%) was higher than that of group B (85.0%), P > 0.05; there was no significant difference in the angle from straight leg raise between group A and group B (P > 0.05); the Oswestry Disability Index (ODI) and the visual analogue scale (VAS) of group A were lower than those of group B (P < 0.05); the incision length, intraoperative blood loss, and hospital stay of the patients in group A were better than those in group B, P < 0.05. Conclusion: Lateral transforaminal endoscopic surgery can significantly reduce pain, improve symptoms, and help to restore normal function in the early stage for patients with lumbar disc herniation.
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