经皮前路椎间孔镜下颈椎间盘髓核摘除术临床应用

Clinical Application of Anterior Percutaneous Endoscopic Cervical Discectomy

目的探讨经皮前路椎间孔镜下颈椎间盘髓核摘除术(anterior percutanous endoscopic cervical discectomy,APECD)安全性及临床疗效。方法选择用APECD治疗的31例患者。术前及术后3 d及l,3,6个月分别行视觉模拟评分(visual analogue scale,VAS)评分。术后6个月行MR I检查。所有评分数据收集后使用SPASS13.0软件分析。结果 31例患者均获得随访。术后3 d VAS评分较术前有改善,差异有统计学意义(P<0.05);术后1,3,6个月VAS评分较术前有明显改善,差异有统计学意义(P<0.01);术后3 d与术后1,3,6个月VAS评分比较有差异且有统计学意义(P<0.05);术后第l,3,6个月之间的VAS评分有差异但无统计学意义(P>0.05)。结论经皮前路椎间孔镜下颈椎间盘髓核摘除术治疗颈椎间盘突出具有良好的疗效。

Objective To evaluate the safety and clinical curative effect of anterior percutaneous endoscopic cervical discectomy（APECD）. Methods The study involved 31 patients undergone APECD.Visual analogue scale（VAS） was recorded before operation and at 3 days,1,3and 6 months after operation.In addition,MRI examination was conducted at postoperative 6 months.After data collection,SPASS13.0 software was performed. Results Follow- up was achieved in 31 patients.When compared to the preoperative score,VAS scale presented improvement at postoperative 3 days（P〈0.05）and great improvement at postoperative 1,3and 6months（P〈0.01）,the differences ware statistically significant;Postoperative day 3 and 1,3,6 months after the score is differ,and there is statistical significance（P〈0.05）;Postoperative VAS score between 1,3,6 months there are some differences but without statistical significance（P〉0.05）.Conclusion APECD is effective in treatment of cervicalsoft or partial hard disc herniation.