椎间孔韧带松解术治疗腰椎间盘突出症的临床效果分析

Clinical effect analysis of intervertebral foramen ligament lysis in the treatment of lumbar intervertebral disc herniation

目的探讨椎间孔韧带松解术在腰椎间盘突出症治疗中的临床效果。方法选择2013年1月~2016年5月在我院接受治疗的50例腰椎间盘突出症患者作为研究对象,随机分为观察组和对照组,各25例。观察组行椎间孔韧带松解术治疗,对照组行常规侧隐窝阻滞保守治疗。术后随访,比较两组的JOA腰痛疾患疗效、VAS评分和临床疗效。结果两组术后3、6个月的JOA评分显著高于治疗前,VAS评分显著低于治疗前,差异有统计学意义(P<0.01)。观察组3、6个月的JOA评分显著高于对照组,差异有统计学意义(P<0.01)。观察组3个月的VAS评分与对照组比较,差异无统计学意义(P>0.05)。观察组6个月的VAS评分显著低于对照组,差异有统计学意义(P<0.01)。观察组的愈显率显著高于对照组,差异有统计学意义(P<0.05)。结论椎间孔韧带松解术治疗腰椎间盘突出效果明显,安全性高,可在临床推荐使用。

Objective To investigate the clinical effect of intervertebral foramen ligament lysis in the treatment of lum- bar intervertebral disc herniation.Methods 50 cases of lumbar disc herniation treated in our hospital from January 2013 to May 2016 were selected and randomly divided into the observation group and the control group,25 cases in each group.The observation group was treated with foraminal ligament lysis treatment,the control group was given lateral re- cess block.Postoperative follow-up,JOA low back pain disease efficaey,VAS score and clinical efficacy in the two groups were compared.Results The JOA scores after 3 months and 6 months of in the two groups was higher than that before treatment,the VAS score was significantly lower than that before treatment,with significant difference （P〈0.05）. The JOA score after 3 months and 6 months in the observation group was higher than that in the control group,with sig- nificant difference （P〈0.01）.There was no significant differences in the VAS score at 3 months between the observation group and the control group .（P〉0.05）.The VAS score at 6 months in the observation group was lower than that in the control group,with significant difference （P〈0.01）.The cure and efficiency rate of the observation group was higher than that of the control group,with significant difference （P〈0.05）.Conclusion The effect of intervertebral foramen ligament lysis in the treatment of lumbar intervertebral disc herniation is obvious,and has high safety,which can be recommended in clinical practice.