3D打印辅助椎间孔镜髓核摘除手术治疗腰椎间盘突出症的效果研究

Study on the Effect of 3D Printing Assisted Intervertebral Foraminal Nucleus Pulposus Removal for Lumbar Disc Herniation

目的:探讨3D打印辅助椎间孔镜髓核摘除术治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床效果。方法:抽取笔者所在医院2017年10月-2019年11月收治的LDH患者140例,以Excel随机函数法分为对照组和治疗组,各70例,对照组采取单纯椎间孔镜髓核摘除术,治疗组采取3D打印辅助椎间孔镜髓核摘除术。对比两组手术效果、术后腰椎功能康复效果和并发症。结果:治疗组手术时间短于对照组,术中出血量、透视次数、穿刺次数均少于对照组,差异均有统计学意义(P<0.05);治疗组术后Fairbank JC腰痛评分、Oswestry功能障碍指数评分均低于对照组,差异均有统计学意义(P<0.05);治疗组总有效率高于对照组,并发症发生率均低于对照组,差异均有统计学意义(P<0.05)。结论:3D打印辅助椎间孔镜髓核摘除术有较高的穿刺针准确性,能减少术中创伤,缩短手术时间,改善术后腰椎功能,且术后并发症风险低,疗效显著,值得应用。

Objective:To explore the clinical effect of 3D printing assisted intervertebral foramen mirror nucleus pulposus removal in the treatment of lumbar disc herniation(LDH).Method:A total of 140 patients with LDH who were admitted to our hospital from October 2017 to November 2019 were selected,and were randomly divided into the control group and the treatment group with Excel random function method,70 cases in each group.The control group was treated with simple intervertebral foraminal nucleus pulpectomy,and the treatment group was treated with 3D printing assisted intervertebral foramen mirror nucleus pulposus removal.The results of operation,postoperative rehabilitation and complications were compared between the two groups.Result:The operation time of the treatment group was shorter than that in the control group,and the amount of intraoperative blood loss,number of fluoroscopy,and number of puncture were all lower than those in the control group,the differences were statistically significant(P<0.05).The scores of postoperative Fairbank JC back pain and Oswestry dysfunction index in the treatment group were lower than those in the control group,the differences were statistically significant(P<0.05).The total effective rate in the treatment group was higher than that in the control group,and the incidence of complications was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:3D printing assisted foraminal nucleus pulposus removal has a high accuracy of puncture needle,can reduce intraoperative trauma,shorten the operation time,improve postoperative lumbar function,and has a low risk of postoperative complications,significant curative effect,and is worthy of application.