椎间孔镜与经Quadrant通道椎板间“小开窗”治疗腰椎间盘突出症的近期疗效比较

Comparison of short-term efficacy between transforaminal endoscopic technique and fenestration laminectomy via Quadrant channel in treatment of lumbar disc herniation

目的比较经椎间孔镜与经Quadrant通道椎板间"小开窗"治疗腰椎间盘突出症的近期疗效及优缺点。方法选取106例腰椎间盘突出症患者为观察对象,按手术方式分为两组,其中56例接受椎间孔镜治疗(A组),50例接受经Quadrant通道椎板间"小开窗"治疗(B组)。比较两组手术时间、术中出血量、术后住院时间、并发症、VAS评分、JOA评分。结果两组间术前VAS评分、JOA评分及手术时间比较,差异均无统计学意义(P>0.05);术中出血量、住院时间、术后第3、7、30天VAS评分及JOA评分比较,差异均有统计学意义(P<0.01)。结论与经Quadrant通道椎板间"小开窗"术相比,经椎间孔镜技术治疗腰椎间盘突出症具有创伤小、术中出血少、术后住院时间短、恢复快、近期临床疗效确切等优势,是一种安全有效且更加微创的手术方法。

Objective To compare the short-term efficacy, advantages and disadvantages between transforaminal endoscopic technique and fenestration laminectomy via Quadrant channel in the treatment of lumbar disc herniation. Methods A total of 106 patients with lumbar disc herniation were enrolled,including 56 patients （group A） receiving surgery using transforaminal endoscopic technique and 50 patients （group B） receiving fenestration laminectomy via Quadrant channel. The operative duration, intraoperative blood loss, hospital stay, complications, VAS and JOA scores were compared between the two groups. Results There were no significant differences in the preoperative VAS, JOA scores and operative duration, between the two groups （P 〉 0.05 ）. Significant differences were found between the two groups in the intraoperative blood loss, hospital stay, VAS and JOA scores at the 3rd, 7th and 30th day after operation （P 〈 0. 01 ）. Conclusion Compare with fenestration laminectomy via Quadrant channel, transforaminal endoscopic technique has the advantages of less trauma and intraoperative blood loss, shorter postoperative hospital stay, faster recovery and definite short-term efficacy, and is a safe, effective and more minimally invasive surgical method.