经皮微创旋切减压治疗颈椎间盘突出症的临床研究

Percutaneous minimally invasive rotary cutting decompression for herniation of cervical disc

目的 探讨经皮微创旋切减压治疗颈椎间盘突出症的临床效果.方法 以我院2011年1月至2013年1月收治的80例颈椎间盘突出症患者为研究对象,按患者入院时间将研究对象分为观察组（2012年1月至2013年1月,40例）与对照组（2011年1月至201 1年12月,40例）,对照组患者采用常规手术治疗方案,观察组患者使用经皮微创旋切减压治疗方案.比较两组患者术后疼痛水平、临床治疗效果和预后水平之间的差异.结果 观察组与对照组皆有16例治疗效果达到优良,两组患者临床疗效差异无统计学意义（P＞0.05）.观察组患者术后疼痛水平为（6.67±1.39）,低于对照组的（10.69±1.08）,预后水平[（上下肢功能（15.69±2.57）,躯体感受（13.70±3.69）,膀胱功能（18.68±3.39）]高于对照组[上下肢功能（12.60±2.43）,躯体感受（10.20±4.65）,膀胱功能（16.98±2.58）],差异均有统计学意义（P＜0.05）.结论 经皮微创旋切减压可以有效治疗颈椎间盘突出症,在保证临床效果的同时,有效缓解患者疼痛水平,减少手术对患者造成的创伤,提高患者预后水平.

Objective To investigate the clinical efficacy of percutaneous minimally invasive rotary cutting decompression in the treatment of herniation of cervical disc. Methods 80 patients with herniation of cervical disc were divided into an observation group（from Jan. 2012 to Jan. 2013, 40 cases） and a control group（from Jan. 2011 to Dec. 2011, 40 cases） according to their hospitalization time. Conventional operation treatment plan was used in the control group and percutaneous minimally invasive rotary cuttingdecompression was used in the observation group. The pain levels, clinical efficacies, and prognosis degrees were compared between the two groups. Results 16 cases got good curative effect in both groups. The pain level was （6.67 ± 1.39） in the observation group and was （10.69 ±1.08） in the control group, with a statistical difference（P 〈 0.05）. The prognosis degrees of the objective group （limb function： [15.69 ±2.57]; body feeling： [13.70 ± 3.69]; bladder function： [18.68 ± 3.39]） was higher than that of the control group（limb function： [12.60 ± 2.43]; body feeling： [10.20 ± 4.65]; bladder function： [16.98 ± 2.58]）, with statistial differences. Conclusions Percutaneous minimally invasive rotary cutting decompression in the treatment of herniation of cervical disc is effective and can decrease the patients＇ pain level, reduce operation wound, and promote pmgnosis.