经椎间孔镜个性化手术入路治疗腰椎间盘突出症的临床观察

Clinical Observation on Individualized Percutaneous Eendoscopic Lumbar Discectomy for Lumbar Intervertebral Disc Herniation

目的研究经椎间孔镜个性化手术入路治疗腰椎间盘突出症的临床效果。方法选取深圳市龙岗中心医院2015年10月至2016年8月间收治的腰椎间盘突出患者120例,随机均分为两组。对照组给予常规手术治疗,观察组给予经椎间孔镜个性化手术入路治疗。术后对两组患者进行VAS评分、ODI评估和Mac Nab评估,比较两组的治疗效果。结果观察组治疗后的VAS评分和ODI评分均显著优于对照组,差异有统计学意义(P<0.05)。观察组治疗后的Mac Nab评估优良率显著高于对照组,差异有统计学意义(P<0.05)。结论经椎间孔镜个性化手术入路治疗腰椎间盘突出症能够提高手术效果,缩短患者恢复时间。

Objective To study the clinical effect of individualized percutaneous endoscopic lumbar discectomy （PELD） in the treatment of lumbar intervertebral disc herniation. Methods 120 cases of patients with lumbar intervertebral disc herniation in Shenzhen Longgang Central Hospital from October 2015 to August 2016 were selected and randomly divided into two groups, with 60 cases in each group. The control group was given conventional surgical treatment, while the observation group received individualized percutaneous endoscopic lumbar discectomy. After surgery, VAS, ODI, MacNab and the curative effects were compared between two groups. Results After treatment, the observation group was superior to the control group in VAS score and ODI, with statistically significant difference （P 〈0.05）. The excellent and good rate of MacNab evaluation of the observation group was significantly higher than that of the control group, with statistically significant difference （P 〈0.05）. Conclusions Individualized percutaneous endoscopic lumbar discectomy in the treatment of lumbar intervertebral disc herniation can improve surgical effect, and shorten patients＇ recovery time.