经皮椎间孔镜髓核摘除术治疗腰椎间盘突出的临床效果

Clinical effect of percutaneous endoscopic discectomy in the treatment of lumbar disc herniation

目的评价经皮椎间孔镜髓核摘除术(PTED)治疗腰椎间盘突出症(LDH)的效果。方法选取我院骨科2015年1月~2016年6月收治的42例LDH患者,随机分为对照组和观察组,每组21例。对照组行传统椎板开窗髓核摘除术治疗,观察组予以PTED治疗。比较两组的治疗效果。结果观察组的切口长度、卧床时间及住院天数短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。观察组术后的VAS评分和ODI评分显著低于对照组,差异有统计学意义(P<0.05)。两组的Mac Nab优良率比较,差异无统计学意义(P>0.05)。结论 PTED治疗LDH创伤小,术中出血少,术后恢复快,并发症少,近期疗效可靠。

Objective To evaluate the efficacy of percutaneous endoscopic discectomy （PTED） in the treatment of lumbar disc herniation （LDH）.Methods 42 patients with LDH in our hospital from January 2015 to June 2016 were selected and randomly divided into the control group and the observation group,21 cases in each group.The control group was given conventional fenestration discectomy,the observation group was treated with PTED.The therapeutic effects in the two groups were compared.Results The incision length,postoperative bed time,hospital stay in the observation group was shorter than that in the control group,intraoperative bleeding volume in the observation group was less than that in the control group,with significant difference （P〈0.05）.The score of VAS and ODI after operation in the observation group was lower than that in the control group,with significant difference （P〈0.05）.There was no significant difference between the two groups in the excellent and good rate of Mac Nab （P〉0.05）.Conclusion PTED in the treatment of LDH has little trauma,less bleeding,faster postoperative recovery,less complications, and reliable short-term efficacy.