经皮椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症的效果

Effect of percutaneous transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation

目的观察经皮椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症的效果。方法采用信封法将我院2017年2月至2019年2月收治的86例中老年腰椎间盘突出症患者分为对照组与试验组,各43例。对照组行椎板开窗腰椎间盘切除术,试验组行经皮椎间孔镜下腰椎间盘切除术。比较两组的手术效果。结果试验组手术总有效率为88.37%,显著高于对照组的67.44%(P<0.05)。治疗后1周及1、3个月,两组患者的疼痛评分均降低,且试验组低于对照组(P<0.05)。试验组的并发症总发生率显著低于对照组(P<0.05)。结论经皮椎间孔镜下腰椎间盘切除术治疗腰椎间盘突出症可提升临床效果,降低患者的疼痛指数,缩短康复进程。

Objective To observe the effect of percutaneous transforaminal endoscopic lumbar discectomy in the treatment of lumbar disc herniation. Methods Eighty-six middle-aged and elderly patients with lumbar disc herniation admitted in our hospital from February 2017 to February 2019 were divided into control group and experimental group by envelope method, with 43 cases in each group. The control group underwent lumbar discectomy with fenestration and the experimental group underwent percutaneous transforaminal endoscopic lumbar discectomy. The operative effects of two groups were compared. Results The total effective rate of operation in the experimental group was 88.37%, which was significantly higher than 67.44% in the control group (P<0.05). At one week, one and three months after treatment, the pain scores of the two groups decreased, and those in the experimental group were lower than the control group (P<0.05). The total incidence of complications in the experimental group was significantly lower than that in the control group (P<0.05). Conclusion Percutaneous transforaminal endoscopic lumbar discectomy for lumbar disc herniation can improve the clinical efficacy, reduce the pain index and shorten the rehabilitation process of patients.