经皮腰椎间孔镜下腰椎间盘切除术对单节段腰椎间盘突出患者的疗效观察

Percutaneous Transforaminal Endoscopic Lumbar Discectomy for Single-segment Lumbar Disc Herniation

目的:研究经皮腰椎间孔镜下椎间盘切除术对单节段腰椎间盘突出患者的临床治疗效果.方法:随机挑选90例于2018年4月-2019年4月来我院治疗单节段腰椎间盘突出的病患进行研究,所有病患以随机分组的方式分为2个小组,即观察组与对照组,对照组病患仅给予标准后路椎板开窗腰椎间盘切除术加以治疗,而观察组病患则实施经皮腰椎间孔镜椎间盘切除术进行治疗,对比2组病患的临床治疗情况.结果:完成手术后,观察组病患的ODI得分指数比对照组更低,其中观察组ODI为16.22%±6.89%,对照组为72.12%±5.46%,统计学有对比意义,P<0.05.就观察组与对照组MacNa优良率情况来看,观察组优良率高于对照组,观察组MacNa优良率为91.11%,对照组为62.22%,差异有统计学意义,P<0.05.结论:经皮腰椎间孔镜下椎间盘切除术运用于单节段腰椎间盘突出患者的治疗中,可以改善病患的临床症状,手术切口相对较小,手术效果也相当显著,值得临床推广使用.

Objective:To study the clinical effect of percutaneous transforaminal endoscopic discectomy for single-segment lumbar disc herniation.Methods:90 patients with single lumbar intervertebral disc herniation treated in our hospital from April 2018 to April 2019 were randomly selected and studied.All patients were randomly divided into two groups:the study group and the control group.The patients in the control group were treated only by standard posterior fenestration of lumbar intervertebral disc,while those in the study group were treated by standard posterior fenestration of lumbar intervertebral disc.The patients were treated by percutaneous transforaminal endoscopic discectomy,and the clinical treatment of the two groups was compared.Results:After the operation,the ODI score index of the patients in the study group was lower than that of the control group.The ODI of the study group was(16.22+6.89)%and that of the control group was(72.12+5.46)%.The difference was statistically significant(P<0.05).In terms of the excellent and good rate of MacNa in the study group and the control group,the excellent and good rate of MacNa in the study group was higher than that in the control group.The excellent and good rate of MacNa in the study group was 91.11%and that in the control group was 62.22%.The difference was statistically significant(P<0.05).Conclusion:Percutaneous transforaminal endoscopic discectomy can improve the clinical symptoms of patients with single-level lumbar disc herniation.The incision is relatively small and the effect of operation is re-markable.It is worthy of clinical application.