经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效分析

Analysis of the Clinical Effect of Percutaneous Endoscopic Technique in the Treatment of Lumbar Disc Herniation

目的分析经皮椎间孔镜技术治疗腰椎间盘突出症的临床疗效。方法对该院在2016年9月—2018年5月期间收治的72例腰椎间盘突出症患者的病历资料进行回顾性分析,依据手术方式的不同进行分组,一组给予开放性手术,一组给予经皮椎间孔镜技术治疗,分别将其作为普通组和实验组,比较两组患者的手术指标、治疗效果。结果实验组患者手术时间为(52.4±10.2)min,手术出血量为(14.2±4.3)mL,切口长度为(0.5±0.3)cm,住院时间为(5.1±2.2)d,各项数据均低于普通组,数据差异有统计学意义(t=12.634、21.382、10.590、12.748,P<0.05);实验组患者术后VAS评分为(0.62±0.23)分,ODI评分为(5.32±1.11)分,各项数据低于普通组,数据差异有统计学意义(t=21.315、14.178,P<0.05)。结论经皮椎间孔镜技术治疗腰椎间盘突出症临床疗效显著,可改善患者疼痛症状,且手术操作简单,对患者的损伤较小,术后恢复快。

Objective To analyze the clinical effect of perforated endoscopic technique in the treatment of lumbar disc herniation.Methods The medical records of 72 patients with lumbar disc herniation admitted in the hospital from September 2016 to May 2018 were retrospectively analyzed,and grouped according to the different surgical methods.One group was given open surgery.The other group was treated with percutaneous transforaminal technique,and it was regarded as the ordinary group and the experimental group,respectively.The surgical indexes and treatment effects of the two groups were compared.Results The operation time of the experimental group was(52.4±10.2)min,the amount of surgical bleeding was(14.2±4.3)mL,the length of the incision was(0.5±0.3)cm,and the length of hospital stay was(5.1±2.2)d.All data were compared with the ordinary group,the data difference was statistically significant(t=12.634,21.382,10.590,12.748,P<0.05);the postoperative VAS score of the experimental group was(0.62±0.23)points,and the ODI score was(5.32±1.11)points,the data are lower than the ordinary group,and the differences are statistically significant(t=21.315,14.178,P<0.05).Conclusion Percutaneous intervertebral foramen is effective in treating lumbar intervertebral disc herniation,which can improve the pain symptoms of patients.The operation is simple,the injury to the patient is small,and the postoperative recovery is fast.