经皮椎间孔镜腰椎间盘切除术(PELD)、椎板开窗腰椎间盘切除术治疗腰椎间盘突出症的疗效差异比较

Effect Difference Comparison Of Percutaneous Foraminal Lumbar Discectomy(PELD) And Fenestration Lumbar Discectomy In Treatment Of Lumbar Disc Herniation

目的分析在腰椎间盘突出症患者治疗中采用经皮椎间孔镜腰椎间盘切除术(PELD)或椎板开窗腰椎间盘切除术的临床疗效。方法抽取2017年8月至2020年1月本院70例腰椎间盘突出症手术病例,并依据术式差异分组,观察组行PELD术治疗,同期对照组则采用常规的椎板开窗腰椎间盘切除术进行治疗,对比2组患者的常规围术期指标以及术后并发症情况。结果观察组的术中切口长度、术中失血量、手术后离床活动时间以及住院天数等均少于对照组,且P<0.05;观察组的手术优良率为94.29%,对照组为82.86%,且P<0.05。结论腰椎间盘突出症患者治疗中采用PELD的手术的治疗效果优于椎板开窗腰椎间盘切除术,前者更有助于优化患者的围术期指标并降低手术创伤,同时有利于提升术后的康复效果。

Objective To analyze clinical effect of percutaneous lumbar discectomy(PELD)or fenestration lumbar discectomy in treatment of patients with lumbar disc herniation.Methods We chose 70 cases of lumbar intervertebral disc herniation patietns in our hospital from August 2017 to January 2020,divided them into groups according to difference of surgical procedures.Observation group was treated with PELD,while control group with routine lamina fenestration resection.Compared routine perioperative indicators and postoperative complications between two groups.Results Length of incision,blood loss,out of bed time after surgery,and lenth of stay in observation group were less than those in control group,P<0.05;surgical excellent rate of observation group was 94.29%,and that of control group was 82.86%,P<0.05.Conclusion PELD surgery can achieve better curative effect than laminectomy and lumbar discectomy in treatment of patients with lumbar disc herniation,the former can optimize perioperative indicators and reducing surgical trauma of patients,and at the same time,is beneficial to improve postoperative rehabilitation effect.