经皮椎间孔镜(TESSYS)治疗不同节段腰椎间盘突出症患者的疗效对比分析

A comparative analysis of TESSYS in the treatment of patients with different segments of lumbar disc herniation

回顾使用经皮椎间孔镜(TESSYS)治疗的单节段腰椎间盘突出的手术患者共219例,以分析使用TESSYS技术进行治疗的不同节段腰椎间盘突出症患者的疗效对比,统计学分析不同节段术前、术后即刻与术后半年随访的ODI、JOA量表以及VAS指数和Macnab评分的变化。结果显示,对于不同节段的单节段腰椎间盘突出症的患者,使用TESSYS治疗在术后即刻就能得到明显的症状改善,并在术后半年的随访调查中疗效得以保持。对比L4/5及L5/S1节段腰椎间盘突出的患者术后的症状改善程度未见明显差异,但与L3/4及以上节段的患者术后症状的改善程度相比较,L4/5及L5/S1节段的腰椎间盘突出症患者使用TESSYS技术进行治疗在术后疗效上均有显著性的优势。

To compare the efficacy of TESSYS therapy in patients with lumbar disc herniation(LDH)at different segments,219 surgical patients with single-stage lumbar disc herniation which treated with TESSYS were reviewed.Statistical analysis of ODI,JOA scales,VAS index and MacNab score before/after surgery and six months follow-up in different segments.TESSYS treatment significantly improved the symptoms immediately after surgery,and the efficacy was maintained in the follow-up survey after six months.There was no significant difference in the degree of postoperative symptom improvement between L4/5 and L5/S1 segmental lumbar disc herniation in patients with different segments.However,compared with the degree of postoperative improvement in patients with L3/4 or higher segment.TESSYS had significant advantages in treating L4/5 and L5/S1 segments.