Quadrant通道联合Sextant-R与开放性手术治疗腰椎间盘突出对患者心理的影响

Psychological Impact of Quadrant Channel Joint Sextant-R and Open Surgery on Lumbar Intervertebral Disc

目的：评价Quadrant通道下髓核摘除术与开放手术髓核摘除术对患者创伤和心理的影响。方法2012年12月～2014年5月入院的112例腰椎间盘突出病人，随机选取43例患者进行研究。20例单节段同侧腰椎间盘突出症患者采用Quadrant可扩张通道手术治疗，作为实验组（ Quadrant组）。23例患者采用传统开放手术治疗作为对照组（开放组）。疗效评定按照目测视觉疼痛类比评分法（ VAS评分）、焦虑自评量表（ SAS ）和抑郁自评量表（SDS）分别在术前和术后4d进行评分，比较两组术前术后的VAS评分、SAS评分、SDS评分。结果开放组与Quadrant组术后的VAS评分、SAS评分、SDS评分分别为（54．00±8．11，53．00±8．12），（47．25±7．83，48．25±7．36），（4．00±0．50，3．50±0．50），差异均有显著性。结论 Quadrant通道下治疗同侧单节段腰椎间盘突出症给患者带来较少创伤的同时，也减轻了疼痛、焦虑、抑郁情绪。

[ ABSTRACT] Objective To evaluate the impact of resection of nucleus pulposus via Quadrant channel and open surgery on pa -tients＇traumatic and psychological .Methods Among 112 cases hospitalized lumbar disc patients during December 2012 to May 2014,43 pa-tients were randomly selected for study .Twenty patients with single segmental lumbar disc disease on the same side treated by Quadrant ex -panded channels surgery were selected as the experimental group （ group Quadrant ） .Twenty-three cases treated by traditional open surgery were selected as the control group （ open group ） .Curative effect evaluation was made in accordance with the method of visual analog pain score（VAS score）,self-evaluation of anxiety scale（SAS） and depression self rating scale（SDS） in preoperative and postoperative 4 days re-spectively and the postoperative and preoperative VAS score ,SAS scores and SDS scores of the two groups were compared .Results Postoper-ative VAS score,SAS scores and SDS scores of open and minimally invasive group was （54.00 ±8.11,53.00 ±8.12）,（47.25 ±7.83,47. 25 ±7.36） and （4.00 ±0.50,3.50 ±0.5） respectively and the differences were significant .Conclusion Quadrant channel under the treat-ment of ipsilateral not only reduce the trauma of patients with single segmental lumbar intervertebral disc protrusion but also reduce their pain,anxiety and depression .