脊柱内镜技术应用于脊柱疾病—腰椎间盘突出症的临床效果

Clinical effect of spinal endoscopy in spinal diseases-lumbar intervertebral disc herniation

目的研究脊柱内镜技术在脊柱疾病—腰椎间盘突出症中的临床应用效果及推广。方法选取2014年1月~2015年2月于我院接受治疗的脊柱疾病—腰椎间盘突出症患者60例。根据随机数字表法分为观察组与对照组各30例。对照组患者给予传统手术治疗,观察组患者则给予脊柱内镜技术治疗。分别对比两组临床疗效、治疗前后疼痛程度、治疗前后腰椎功能情况以及生活质量。结果观察组优良率为93.34%(28/30),显著高于对照组的73.33%(22/30),差异有统计学意义(P<0.05)。治疗后两组VAS评分均显著低于治疗前,观察组显著低于对照组,差异均有统计学意义(P<0.05)。治疗后两组患者Lehmann评分均显著高于治疗前,观察组显著高于对照组,差异均有统计学意义(P<0.05)。治疗后观察组饮食、精神、睡眠以及心理评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论脊柱内镜技术应用于脊柱疾病—腰椎间盘突出症中具有显著的临床疗效,且能有效减轻患者疼痛,促进腰椎功能的恢复,提高其生活质量,应该予以推广。

Objective To study the clinical application effect and promotion of spinal endoscopy in the treatment of spinal disease-lumbar intervertebral disc herniation. Methods From January 2014 to February 2015, 60 patients with spinal disease-lumbar intervertebral disc herniation who were treated in our hospital were selected. According to the random number table method, the patients were assigned to the observation group and the control group, with 30 pa- tients in each group. The patients in the control group were given traditional surgery, and the patients in the observa- tion group were treated with spinal endoscopy. The clinical efficacy, pain degree before and after treatment, lumbar function before and after treatment and quality of life were compared between the two groups. Results The excellent and good rate was 93.33%（28/30） in the observation group, which was significantly higher than that of in the control group 73.33%（22/30）, and the difference was statistically significant（P〈0.05）. After treatment, VAS scores in both groups were significantly lower than those before the treatment, while the observation group was significantly lower than the control group, and the difference was statistically significant（P〈0.05）. After treatment, Lehnann scores were significantly higher in both groups than those before treatment, while the observation group was significantly higher than the control group, and the difference was statistically significant （P〈0.05）. After treatment, the diet, spirit, sleep and psychological score in the observation group were significantly higher than those in the control group, and the differences were statis- tically significant（P〈0.05）. Conclusion Spinal endoscopy is significantly effective in the clinical treatment of spinal dis- ease-lumbar intervertebral disc herniation, and can effectively relieve the pain of patients, enhance the recovery of lumbar function and improve the quality of life, which should be promoted.