经皮脊柱内镜术对腰椎间盘突出症患者疗效的影响

Effect of Percutaneous Spinal Endoscopy on Surgical Outcome of Patients with Lumbar Disc Herniation

目的:探讨经皮脊柱内镜术对腰椎间盘突出症患者疗效的影响。方法:选取本院收治的63例腰椎间盘突出症患者,全部患者均行经皮脊柱内镜术治疗,分析手术治疗情况,术后随访6个月,统计疗效,比较术前及术后6个月患者的Oswestry功能障碍指数问卷表(ODI)评分和疼痛情况。结果:患者术中出血量为(23.84±6.72)ml,手术时间为(75.86±26.29)min,术后住院时间为(6.29±1.37)d;未见血管和神经损伤、硬脊膜撕裂、感染等并发症发生;治疗总有效率为90.48%;患者术后6个月的疼痛评分(1.83±0.79)分、Oswestry功能障碍指数问卷表(ODI)评分(23.95±9.34)分,低于术前的(7.51±1.26)、(51.28±10.61)分,差异均有统计学意义(P<0.05)。结论:对腰椎间盘突出症患者行经皮脊柱内镜术治疗具有创伤小、术后恢复快、安全性高的优势,可明显改善腰椎功能和疼痛情况,疗效确切。

Objective:To investigate the effect of percutaneous spinal endoscopy on the therapeutic effect of patients with lumbar disc herniation.Method:Sixty-three patients with lumbar disc herniation treated in our hospital were selected.All patients underwent percutaneous spinal endoscopy.The surgical treatment was analyzed.The patients were followed up for 6 months,the curative effect was compared.The Oswestry disability index questionnaire (ODI) score and pain score were compared before surgery and after surgery for 6 months.Result:The intraoperative blood loss was (23.84±6.72) ml,the operation time was (75.86±26.29) min,and the postoperative hospital stay was (6.29±1.37) d.No complications such as vascular and nerve damage,dural tear,infection occurred.The total effective rate of treatment was 90.48%.After surgery for 6 months,the postoperative pain score was (1.83±0.79) points,and ODI score was (23.95±9.34) points,which were lower than (7.51±1.26) points,(51.28±10.61) points before surgery (P<0.05).Conclusion:Percutaneous spinal endoscopy for patients with lumbar disc herniation has the advantages of less trauma,rapid postoperative recovery,and high safety.It can obviously improve lumbar spine function and pain,and the effect is exact.