经皮椎间孔镜下椎间孔入路与椎板间入路治疗腰椎间盘突出症的疗效分析

Percutaneous Transforaminal Approach and Interlaminar Approach for the Treatment of Lumbar Disc Herniation

目的探讨对腰椎间盘突出症患者分别拟定经皮椎间孔镜下椎间孔入路方案以及椎板间入路方案治疗后获得的临床效果。方法选择该院2017年10月—2019年3月收治的52例腰椎间盘突出症患者作为实验对象;信封法分组后拟定每组经皮椎间孔镜手术入路方案;比照组(26例):拟定椎间孔入路方案进行治疗;实验组(26例):拟定椎板间入路方案进行治疗;就组间下肢疼痛程度、直腿抬高角度以及疗效评定总有效率展开对比。结果手术前,实验组腰椎间盘突出症患者下肢疼痛VAS评分同比照组比较差异无统计学意义(P>0.05);手术后不同时间段,实验组腰椎间盘突出症患者下肢疼痛VAS评分同比照组比较差异无统计学意义(P>0.05);手术后不同时间段,实验组以及比照组手术前下肢疼痛VAS评分均低于手术前明显,差异有统计学意义(P<0.05);实验组腰椎间盘突出症患者直腿抬高角度同比照组比较差异无统计学意义(P>0.05);手术后,实验组腰椎间盘突出症患者直腿抬高角度同比照组比较差异无统计学意义(P>0.05);实验组腰椎间盘突出症患者疗效评定总有效率(88.46%)同比照组(92.31%)比较差异无统计学意义(χ2=0.221,P>0.05,)。结论腰椎间盘突出症患者于临床接受治疗经皮椎间孔镜手术期间,椎间孔入路以及椎板间入路方法的有效应用,在下肢疼痛程度、直腿抬高角度以及疗效评定总有效率几方面均未呈现出明显差异。

Objective To investigate the clinical effects of percutaneous transforaminal approach and interlaminar approach for patients with lumbar disc herniation.Methods 52 patients with lumbar intervertebral disc herniation admitted to our hospital from October 2017 to March 2019 were selected as experimental subjects.The envelope method was used to divide the patients into two groups,and then the percutaneous transforaminal approach was worked out for each group.The control group(26 cases)was treated with the transforaminal approach;the experimental group(26 cases)was treated with the transforaminal approach.The degree of lower limb pain,the angle of straight leg elevation and the total effective rate of curative effect evaluation were compared between the two groups.Results Before operation,the VAS score of lower limb pain in patients with lumbar disc herniation in the experimental group was not significantly different from that in the control group(P>0.05);at different time after operation,the VAS score of lower limb pain in patients with lumbar disc herniation in the experimental group was not significantly different from that in the control group(P>0.05);at different time after operation,the VAS score of lower limb pain in the experimental group was not significantly different from that in the VAS score of lower extremity pain before operation was significantly lower than that before operation in the control group(P<0.05);the straight leg elevation angle of patients with lumbar disc herniation in the experimental group was not significantly different from that in the control group(P>0.05);after operation,the straight leg elevation angle of patients with lumbar disc herniation in the experimental group was not significantly different from that in the control group(P>0.05).There was no significant difference in the total effective rate(88.46%)between the experimental group and the control group(92.31%)(χ2=0.221,P>0.05).Conclusion There is no significant difference in the degree of lower limb pain,the angle of straight leg elevation and the total effective rate of curative effect evaluation between patients with lumbar intervertebral disc herniation treated by percutaneous foraminoscopy and the effective application of foramen approach and interlaminar approach.