椎间孔镜技术治疗复发性腰椎间盘突出症的临床疗效分析

Percutaneous Transforaminal Endoscopic Discectomy in Treatment of Recurrent Lumbar Disc Herniation

目的:探讨复发性腰椎间盘突出症患者实施椎间孔镜技术治疗的临床疗效。方法:将40例复发性腰椎间盘突出症患者随机分为观察组(n=20)和对照组(n=20),观察组采取椎间孔镜技术治疗,对照组采取传统椎板开窗术治疗,观察两组手术效果及预后。结果:观察组手术出血量、术后下床活动时间、住院时间均显著低于对照组(P<0.05),手术时间则显著长于对照组(P<0.05);观察组术后1周VAS、JOA评分均显著低于对照组(P<0.05);观察组术后并发症发生率与对照组比较无显著性差异(P>0.05)。结论:复发性腰椎间盘突出症患者实施椎间孔镜技术治疗效果优良。

Objective： To investigate the efficacy of percutaneous transforaminal endoscopic discectomy for recurrent lumbar disc herniation. Meth Methods： 40 cases of patients with recurrent lumbar disc herniation were randomly divided into observation group（20 cases） and control group（20 cases）,the observation group treated with percutaneous transforaminal endoscopic discectomy while control group with conventional fenestration decompression of vertebral lamina, observed the surgical effect of the two groups and their prognosis. Results： The intraoperative blood loss, off-bed activity time and hospitalization time of observation group were significantly lower than those of control group（P〈0.05）, while operation time was significantly longer（P〈0.05）; 1 week after operation, the VAS and JOA scores of observation group were significantly lower than those of control group（P〈0.05）; there was no statistical difference between the incidence of postoperative complications in the two groups（P〉0.05）. Conclusion： The implementation of percutaneous transforaminal endoscopic discectomy in recurrent lumbar disc herniation has excellent therapeutic effect.