脊柱椎间孔镜手术治疗腰椎间盘突出症的临床效果研究

Clinical Effect of Spinal Interbody Surgery for Lumbar Disc Herniation

目的探讨对腰椎间盘突出症患者给予脊柱椎间孔镜手术治疗后获得的临床效果。方法选择该院2017年5月—2019年4月收治的88例腰椎间盘突出症患者作为实验对象;数字奇偶法分组后探究每组采取的手术方式;比照组(44例):采取传统椎板开窗术展开疾病治疗;实验组(44例):采取脊柱椎间孔镜手术方法展开疾病治疗;就组间平均下床活动时长、平均住院时长、术中平均失血量,手术前后VAS评分、JOA评分展开对比。结果实验组平均下床活动时长为(1.91±0.62)d;平均住院时长为(5.10±1.32)d;术中平均失血量为(19.69±4.89)mL;比照组平均下床活动时长为(3.81±0.52)d;平均住院时长为(9.11±2.55)d;术中平均失血量为(48.65±11.71)mL;最终发现实验组腰椎间盘突出症患者平均下床活动时长、平均住院时长短于比照组明显,术中平均失血量少于比照组明显(t=15.575、9.264、15.138,P<0.05);手术前,实验组腰椎间盘突出症患者VAS评分以及JOA评分同比照组比较差异无统计学意义(t=0.041、0.018,P>0.05);手术后实验组腰椎间盘突出症患者VAS评分以及JOA评分少于比照组明显(t=6.548、15.625,P<0.05)。结论腰椎间盘突出症患者接受脊柱椎间孔镜手术,更利于平均下床活动时长、平均住院时长缩短,术中平均失血量减少,VAS评分、JOA评分降低,最终对于腰椎间盘突出症患者康复促进以及预后改善,奠定基础。

Objective To investigate the clinical effect of spinal intervertebral foramen surgery in patients with lumbar disc herniation.Methods Eighty-eight patients with lumbar disc herniation admitted to the hospital from May 2017 to April 2019 were selected as experimental subjects.The digital parity method was used to investigate the surgical methods adopted by each group.The comparison group(44 cases):traditional vertebrae plate fenestration for disease treatment;experimental group(44 cases):using spinal foramen surgery to develop disease treatment;average time to get out of bed between groups,average length of hospital stay,mean intraoperative blood loss,VAS score before and after surgery,JOA scores were compared.Results The average length of time to get out of bed in the experimental group was(1.91±0.62)d;the average length of hospital stay was(5.10±1.32)d;the mean blood loss during operation was(19.69±4.89)mL;the average time of getting out of bed in the comparison group was(3.81±0.52)d;the average length of hospital stay was(9.11±2.55)d;the average blood loss during operation was(48.65±11.71)mL;the average length of time to get out of bed and the length of hospital stay in the experimental group were found to be shorter than the average length of hospital stay.Compared with the control group,the mean blood loss was less than that in the control group(t=15.575,9.264,15.138,P<0.05).Before the operation,the VAS score and JOA score of the lumbar disc herniation in the experimental group were not statistically significantly different(t=0.041,0.018,P>0.05);the VAS score and JOA score of the patients with lumbar disc herniation in the experimental group were significantly lower than those in the control group(t=6.548,15.625,P<0.05).Conclusion Patients with lumbar disc herniation un dergoing spinal foramen surgery are more conducive to the average length of time to get out of bed,shorter duration of hospitalization,lower mean blood loss during surgery,lower VAS score and JOA score,and finally rehabilitation for patients with lumbar disc herniation,promote and improve the prognosis and lay the foundation.