经皮椎间孔镜髓核摘除术在腰椎间盘突出症患者中的临床效果

Clinical Effect of Percutaneous Endoscopic Lumbar Discectomy of Nucleus Pulposus in Patients with Lumbar Disc Herniation

目的探讨经皮椎间孔镜髓核摘除术(Percutaneous Endoscopic Lumbar Discectomy,PELD)在腰椎间盘突出症(Lumbar Disc Herniation,LDH)患者中的临床效果。方法选取2021年1月—2023年6月靖西市人民医院收治的80例LDH患者为研究对象,按手术方式分为对照组(n=40,椎板开窗髓核摘除术)和研究组(n=40,PELD治疗),随访6个月,比较两组治疗前(T0)、后(T1)的临床效果。结果研究组患者术中失血量、手术时间以及住院时间均优于对照组,差异有统计学意义(P均<0.05)。两组患者T1时的腰椎功能评分均较T0时低,且研究组显著低于对照组,差异有统计学意义(P<0.05)。两组患者T1时的生活质量各维度评分均较T0时高,且研究组高于对照组,差异有统计学意义(P均<0.05)。研究组并发症总发生率(2.50%)和复发率(2.50%)均低于对照组,差异有统计学意义(χ^(2)=4.507、4.507,P均<0.05)。结论采用PELD治疗LDH效果显著,且并发症发生率、复发率均较低。

Objective To investigate the clinical effect of percutaneous endoscopic lumbar discectomy(PELD)in patients with lumbar disc herniation(LDH).Methods Eighty LDH patients who received treatment at Jingxi People's Hospital from January 2021 to June 2023 were selected as the study subjects.They were divided into the control group(n=40,laminectomy of nucleus pulpoideus)and the study group(n=40,PELD treatment)according to surgical methods.The clinical effects of the two groups before treatment(T0)and after treatment(T1)were compared.Results The intraoperative blood loss,operation time and hospital stay of the study group patients were better than those of the control group,and the differences were statistically significant(all P<0.05).The lumbar spine function scores of two groups of patients at T1 were lower than at T0,and the study group was significantly lower than the control group,and the difference was statistically significant(P<0.05).The quality of life scores of two groups of patients at T1 were higher than those at T0,and the study group was higher than the control group,and the differences were statistically significant(all P<0.05).The total incidence of complications(2.50%)and recurrence rate(2.50%)in the study group were lower than those in the control group,and the differences were statistically significant(χ^(2)=4.507,4.507,both P<0.05).Conclusion PELD is effective in treating LDH,and the complication rate and recurrence rate are lower.