侧后路椎间孔镜治疗腰椎术后残余根性症状的疗效观察

Clinical observation of percutaneous transforaminal endoscopic discectomy for the treatment of residual root symptoms after lumbar surgery

目的探讨侧后路椎间孔镜治疗腰椎术后残余根性症状的临床疗效。方法回顾性分析2013年12月至2019年1月在北京友谊医院及航天中心医院应用侧后路椎间孔镜治疗的腰椎术后残余根性症状患者35例,分别于术前及术后1、3、6、12个月进行疼痛视觉模拟量表(visual analogue scale,VAS)评分及Oswestry功能障碍指数(Oswestry disability index,ODI)评分。结果35例患者中34例获随访,随访时间10.5~35.6个月,平均(12.0±0.3)个月。34例患者术后1、3、6、12个月的VAS评分及ODI评分均明显低于术前,差异有显著性(P<0.05)。结论在严格掌握适应证的前提下,采用侧后路椎间孔镜治疗腰椎术后残余根性症状是一种安全、有效的方法。

Objective To evaluate and analyze the efficacy of percutaneous transforaminal endoscopic discectomy in the treatment of patients with residual root symptoms after lumbar spine surgery.Method From December 2013 to January 2019,35 patients with residual root symptoms after lumbar surgery were treated with percutaneous transforaminal endoscopic discectomy.The efficacy was evaluated by visual analogue scale(VAS)and Oswestry disability index(ODI).The patients’lumbocrural pain was evaluated before and 1,3,6,12 months after operation.Result 34 of the 35 patients were followed up from 10.5 months to 35.6 months,with an average of(12.0±0.3)months.The ODI and VAS scores 1,3,6,12 months after operation were significantly lower than those before operation(P<0.05).Conclusion On the premise of strict indication,it is a safe and effective method to treat the patients with residual root symptoms after lumbar operation by using percutaneous transforaminal endoscopic discectomy.