经皮椎间孔镜髓核摘除治疗腰椎间盘突出症的近期疗效

The recent clinical effect of percutaneous transforaminal endoscopic spine system in treatment of lumbar disc herniation

目的探讨经皮椎间孔镜髓核摘除治疗腰椎间盘突出症(LDH)的近期疗效。方法选择2015年3月至10月安徽医科大学附属合肥医院收治的LDH患者40例,均实施经皮椎间孔镜髓核摘除术,采用视觉模拟评分法(VAS)和改良Mac Nab标准评定入院时和术后不同时间点疗效。结果 40例患者随访1~6个月,腰腿痛VAS评分由术前(6.69±1.25)、(8.58±1.47)分下降到术后6个月的(2.28±0.46)和(1.41±0.32)分,术后随访与术前评分的差异有统计学意义(P<0.05)。末次随访改良MacNab疗效评定为优29例、良6例、可5例,优良率为87.50%。结论经皮椎间孔镜下髓核摘除术可作为治疗LDH的微创方法,且近期疗效确切。

Objective To investigate the recent clinical effect of percutaneous transforaminal endoscopic spine system in treatment of lumbar disc herniation. Methods A retrospective analysis of 40 patients with lumbar disc herniation,underwent percutaneous transforaminal endoscopic discectomy,was conducted in our hospital from March 2015 to October 2015,and then visual analogue score（ VAS） and modified Mac Nab criteria were used to assess the admission and postoperative curative effect. Results Forty patients were followed up for 1 to 6months. VAS score of low back and leg pain of all patients decreased from preoperative（ 6. 69 ± 1. 25） and（ 8. 58 ± 1. 47） to（ 2. 28 ± 0. 46）and（ 1. 41 ± 0. 32） 6 months after surgery,and there was statistically significant difference between postoperative follow-up and the preoperative score（ P 〈 0. 05）. Last follow-up evaluation standard according to the modified Mac Nab was： excellent in 29 cases,good in 6 cases,common in 5 cases,and the excellent and good rate was 87. 50%. Conclusion As an effective minimally invasive treatment for lumbar disc herniation,percutaneous transforaminal endoscopic technology for lumbar disc herniation is safe and effective,with obvious recent curative effect.