神经根沉降征对经皮椎间孔镜治疗腰椎间盘突出症术后价值研究

Research on Postoperative Value of Nerve Root Sedimentation in Lumbar Disc Herniation Patients Treated with Percutaneous Transforaminal Endoscopy

目的:通过对比神经根沉降征阳性患者与阴性患者在经皮椎间孔镜下治疗术后的临床效果差异,进一步探讨神经根沉降征对于经皮椎间孔镜治疗腰椎间盘突出症患者术后价值的预测;方法:回顾性研究2017年6月-2018年10月于课题组所在单位的经皮椎间孔镜治疗腰突症的患者80例,对神经根沉降征阳性组与神经根沉降征阴性组的术后VAS评分,改良Macnab疗效评分,ODI评分进行统计学分析;结果:2组患者术后的VAS评分,改良Macnab疗效评分,ODI评分均较术前明显改善,但神经根沉降征阳性组术后疗效明显优于神经根沉降征阴性组;结论:神经根沉降征可作为经皮椎间孔镜治疗腰突症患者的术后疗效预测的评价标准之一。

Objective:The clinical effects of the treatment of lumbar intervertebral*disc herniation under percutaneous transforaminal microscopy were compared by comparing patients with positive nerve root remodeling and negative patients.Further exploration of the prediction of the value of nerve root settlement for the postoperative value of percutaneous transforaminal lumbar disc herniation.Methods:A retrospective study of 80 patients with lumbar protrusion treated by percutaneous transforaminal surgery in our unit from June 2017 to October 2018.The postoperative VAS scores,modified Macnab efficacy scores,and ODI scores were statistically analyzed in the positive group of nerve root remodeling and the negative group of nerve root depression.Results:The postoperative VAS scores,modified Macnab efficacy scores,and ODI scores were significantly improved in the 2 groups.However,the postoperative effect of the nerve root sedimentation positive group was significantly better than that of the nerve root sedimentation sign negative group.Conclusion:The nerve root subsidence sign can be used as one of the evaluation criteria for the postoperative efficacy prediction of patients with lumbar protrusion treated by percutaneous transforaminal surgery.