椎间孔镜BEIS技术治疗腰椎管狭窄症早期疗效研究

Study on Transforaminal Endoscopic BEIS Technique for the Treatment of Lumbar Foraminal Stenosis early Curative Effect

目的:探讨椎间孔镜BEIS技术治疗腰椎管狭窄症的临床效果。方法:选取2014年1月至2016年5月80例腰椎管狭窄症患者进行研究,采用随机数字表法分为微创组(椎间孔镜BEIS技术)和传统组(传统手术方法)各40例,对比两组患者的手术时间、出血量、住院时间,术后疼痛、ODI功能评分。结果:微创组的手术时间、出血量、住院时间均低于传统组,差异具有统计学意义(P<0.05);术后1周、术后1个月、3个月,微创组的VAS、ODI评分与传统组差异不具有统计学意义(P>0.05),两组患者的VAS、ODI评分与术前比较均显著的降低(P<0.05)。结论:椎间孔镜BEIS技术治疗腰椎管狭窄症具有创伤小、恢复快的优势,手术效果与传统手术相当。

Objective： To study the clinical effect of spinal canal stenosis with transforaminal endoscopic technique in the treatment of lumbar BEIS. Methods： 80 cases of lumbar foraminal stenosis patients admitted in our hospital from January 2014 to May 2016 were randomly divided into minimally invasive group（ transforaminal endoscopic BEIS） and conventional group（ traditional surgery） in 40 cases,compared two groups of patients with operation time,blood loss,hospital stay,pain,ODI function postoperative score. Results： The operation time,minimally invasive group bleeding volume and hospitalization time were lower than the traditional group,the difference was statistically significant（ P〈0.05）; 1 weeks after surgery,after 1 months,3months,minimally invasive group VAS,ODI scores and the traditional group was not statistically significant（ P〉0.05）,two groups of patients,VAS compared with the preoperative ODI score were significantly decreased（ P〈0.05）. Conclusion： Transforaminal endoscopic BEIS technique in the treatment of lumbar spinal stenosis has less trauma,quicker recovery advantages. And the surgical effect is equivalent to traditional surgery.