介入治疗与椎间盘镜治疗腰椎间盘突出的临床研究

Clinical investigation on interventional therapy and diskoscope for lumbar disc protrusion patients

目的研究单独应用介入治疗、椎间盘镜及椎间盘镜联合介入治疗方法在腰椎间盘突出患者中的治疗效果。方法单独应用介入治疗患者74例（介入组）,单独应用内镜治疗患者68例（关节镜组）,应用内镜联合介入治疗患者71例（联合治疗组）,所有患者均随访12-18个月。结果经Macnab标准评估疗效,介入组优60例（81.08%）,良8例（10.81%）,差6例（8.11%）。关节镜组优54例（79.41%）,良9例（13.24%）,差5例（7.35%）。联合治疗组优67例（94.37%）,良3例（4.23%）,差1例（1.41%）。经分析在腰部、腿部疼痛、手术满意度及术后整体评估方面,联合治疗组明显优于关节镜组及介入治疗组（P〈0.05）。在术后腰部活动及恢复工作时间方面,3组结果差异无统计学意义（P〉0.05）。结论介入联合椎间盘镜治疗腰椎间盘突出疗效明显优于单独介入治疗和椎间盘镜治疗。

Objective To evaluate the effect of interventional therapy,and diskoscope for lumbar disc protrusion patients.MethodsThere were 74 patients in interventional therapy group,68 patients in diskoscope group and 71 patients in combined treatment group.Follow-up was done in 12 to 18months after operation and data was collected.Results Depende on the macnab standard,there were 60cases（81.08%）were excellent 8cases（10.81%）were good,and 6cases（8.11%）were bad in interventional therapy group;54cases（79.41%）,9cases（13.24%）,5cases（7.35%）in diskcope gooup,and 67cases（94.37%）,3cases（4.23%）,1cases（1.41%）in combined teratment group respectively.χ^2 test was made,result shows that both pain in waist and legs and satisfaction degree after operation in combined treatment group are better than others.There is no statistics difference in postoperative lumbar activities and time back to work among the groups（P〉0.05）.Conclusion There is a better treatment effect in combined treatment group than other groups.