经皮椎间孔镜技术治疗青年腰椎间盘突出症临床观察

Observation on clinical effects of PTED in treating youth lumbar disc disease

目的探讨经皮椎间孔镜技术治疗青年腰椎间盘突出症的临床疗效。方法将72例青年腰椎椎间盘突出症患者根据治疗方案分为两组，每组36例，观察6个月。评估并比较两组JOA下腰痛评分及术后6个月临床疗效。结果治疗前两组JOA下腰痛评分比较差异无统计学意义（P〉0．05）；治疗3个月及6个月两组均较治疗前显著升高，PTED组显著高于保守组（P〈0．01）。治疗6个月，PTED组优良率为91．7％，保守组为69．4％，PTED组显著高于保守组（P〈0．05）。结论经皮椎间孔镜技术治疗青年腰椎间盘突出症临床疗效显著，可显著改善患者下腰疼，但要注意手术并发症的发生。

Objective To discuss the clinical effects of PTED in treating youth lumbar disc disease. Methods 72 cases of youth patients with lumbar disc disease were selected and divided into two groups according to treatment methods, 36 cases in each group and they were observed for 6 months. JOA low back pain scores and the surgery effects of 6 months after surgery of the two groups were evaluated. Results Before surgery, the comparison of JOA low back pain scores in both groups showed no significant difference （P〉0.05） ;3, 6 months after treatment, JOA low back pain scores of the two groups were significantly increased than that before treatment, PETD group was significantly higher than the conservative group （P〈0.01）. The excellent rate of 6 months after surgery in the PTED group （91.67%） was significantly higher than the conservative group （69.44%） （P〈0.05）. Conclusion PTED has significantly effective in treating youth lumbar disc disease, it can significantly improve low back pain of patients. But meanwhile the complications should be paid attention to.