经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的可行性研究

Feasibility Study of Transcranial Approach for the Treatment of Lumbar Disc Herniation by Nucleus Pulposus Removal

目的研究临床上经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的可行性。方法随机抽取于四川省泸州市西南医院2014年4月—2016年2月收治的腰椎间盘突出症患者92例,所有患者均给予经皮椎间孔镜下髓核摘除术治疗,对患者治疗前后的各项临床指标进行分析。结果治疗后患者有效率达到97.8%,且患者疼痛情况与术前相比有明显改善(P<0.05),无严重并发症发生。结论采用经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症能有效降低并发症的发生安全性高,同时提高患者腰椎功能,提高了治疗有效率,可以在临床治疗中进行推广。

Objective To study the feasibility of percutaneous lumbar disc herniation in treating lumbar disc herniation.Methods 92 cases of lumbar disc herniation treated in Affiliated Hospital of Southwest Medical University in Luzhou City,Sichuan Province from April 2014 to February 2016 were randomly selected.All patients were given percutaneous parenchyma examination of nucleus pulpous.The clinical parameters of patients before and after treatment were analyzed.Results The efficiency of the patients after treatment was 97.83%,with the pain significantly improved(P<0.05).No serious complications occurred.Conclusion The treatment of lumbar intervertebral disc herniation with transcranial approach can improve the safety of complications and improve the lumbar function and the efficiency of treatment.It can be popularized in clinical treatment