经皮内窥镜下手术治疗腰椎间盘突出的临床疗效分析

Analysis of Clinical Efficacy of Treatment on Lumbar Disc Herniation Under Percutaneous Endoscopic

目的:探讨经皮内窥镜下手术治疗腰椎间盘突出的临床效果。方法:回顾性分析我院收治的因保守治疗欠佳而接受手术治疗的117例腰椎间盘突出症患者资料,所有患者根据术式不同可分为对照组(61例)和治疗组(56例),其中对照组患者接受传统手术治疗,治疗组患者给予经皮内窥镜下手术治疗。比较两组患者术后临床效果,围术期情况以及术前术后视觉模拟疼痛(VAS)评分。结果:治疗组患者总有效率高达93.7%,对照组为76.8%,两组总有效率比较差异具有显著性(P<0.05);治疗组患者的手术时间、术中出血量、术后下床时间、住院时间分别为(72.39±15.32)min、(84.48±24.34)m L、(8.19±2.57)d、(12.45±3.43)d,均显著少于或低于对照组,P<0.05;两组患者术前VAS评分无显著性差异,术后1d、术后3个月及6个月分别为(3.41±0.69)分、(1.74±0.47)分、(0.42±0.16)分,均显著低于对照组患者(P<0.05)。结论:经皮窥镜下手术治疗腰椎间盘突出临床效果显著,创伤小,术后恢复快。

Objective： To evaluate the clinical effect of surgical treatment on lumbar disc herniation under percutaneous endoscopic. Methods： 117 patients with lumbar disc herniation who had received the conservative treatment in our hospital were taken for retrospective analysis. According to surgical treatment methods, they were divided into the treatment group and the control group. The control group received traditional surgical treatment, while the treatment group was treated with percutaneous surgical treatment under percutaneous endoscope. The postoperative clinical results, perioperative preoperative and postoperative visual analog pain （VAS） score of the two groups were compared. Results： The total efficiency rate of the treatment group was up to 93.7%, and the control group was 76.8%. The overall efficiency rates of the two groups had significant differences （P〈0.05）. The operative time, blood loss, postoperative ambulation time, hospital stay in the treatment group were （72.39±15.32） rain, （84.48±24.34） re.L, （8.19 ± 2.57） d, （12.45± 3.43） d, which were significantly less or lower than the control group （P〈0.05）. The VAS score of the two groups before treatment had significant difference. The score of the treatment group ld, 3 months and 6 months after surgery were （3.41 ± 0.69）, （1.74 ±0.47）, （0.42 ± 0.16）, which were significantly lower than the control patients （P〈0.05）. Conclusion： The clinical effect of surgical treatment for lumbar disc herniation under percutaneous endoscopic is significant, which has less invasive, rapid postoperative recovery.