观察腰椎椎间孔镜手术治疗伴神经根管狭窄的腰椎间盘突出症临床疗效

Observation of the Clinical Effect of Transforaminal Endoscopic Surgery for Lumbar Disc Herniation with Nerve Root Canal Stenosis

目的分析在伴神经根管狭窄的腰椎间盘突出症中,应用腰椎椎间孔镜手术的应用效果。方法选取我院于2019年5月至2020年10月收治的患者22例进行分析,所有患者入院后均完成相关检查,均接受腰椎椎间孔镜手术进行治疗。观察患者的治疗效果。结果经治疗后,患者的腰部及腿部疼痛评分明显下降,疼痛评分均低于治疗前,差异显著(P<0.05)。在本次治疗中,完全恢复正常,腰部及腿部疼痛症状完全消失的患者为15例,占比68.18%。腰部及腿部疼痛有明显缓解的患者,但日常活动稍微有一些受到影响的患者为7例,占比31.82%。所有患者均有改善,无一例患者为疗效差,患者治疗优良率为100.00%。治疗后症状评分明显低于对照组前,两组患者对比差异有统计学意义(P<0.05)。治疗后的生活质量评分明显比治疗前高,治疗前后差异显著(P<0.05)。结论在腰椎间盘突出症伴神经根管狭窄的疾病治理中,通过腰椎椎间孔镜手术的实施能快速改善患者的症状,加快患者的恢复,治疗效果显著,值得推广应用。

Objective To analyze the application effect of transforaminal endoscopic surgery in lumbar disc herniation with nerve root canal stenosis.Methods Twenty-two patients admitted to our hospital from May 2019 to October 2020 were selected for analysis.All patients completed the relevant examination after admission and received lumbar intervertebral foramen mirror surgery for treatment.The therapeutic effect was observed.Results In this treatment,15 patients had completely returned to normal and the pain in the waist and legs disappeared completely,accounting for 68.18%.There were 7 patients who had obvious relief of waist and leg pain,but their daily activities were slightly affected,accounting for 31.82%.All patients have improved,no patient has a poor curative effect,and the excellent and good rate of treatment is 100.00%.The symptom score after treatment was significantly lower than that before treatment in the control group,and there was significant difference between the two groups(P<0.05).The score of quality of life after treatment was significantly higher than that before treatment,and the difference was significant before and after treatment(P<0.05).Conclusion In the treatment of lumbar disc herniation with nerve root canal stenosis,the implementation of lumbar transforaminal endoscopic surgery can quickly improve the symptoms of patients,accelerate the recovery of patients,and the treatment effect is significant,which is worthy of promotion and application.