经皮椎间孔镜治疗腰椎管狭窄症的临床效果

Clinical Effect of Percutaneous Transforaminal Endoscopy in the Treatment of Lumbar Spinal Stenosis

目的对罹患腰椎管狭窄症患者病历资料全面分析后,探究其治疗期间,取经皮椎间孔镜手术(percutaneous endoscopic lumbar discectomy,PELD)的临床成效。方法该研究2017年2月—2021年3月抽取该院收治的180例腰椎管狭窄症患者,按照随机数表法,分为对照组、研究组各90例,并给予两组不同手术干预,措施为:传统开放手术(对照组)、经皮椎间孔镜手术(研究组),比对腰椎管狭窄症患者最终疗效,具体包括手术指标、疼痛视觉模拟评分VAS、总有效率情况。结果①比较术中出血量、手术用时、住院用时指标,研究组腰椎管狭窄症患者居更低水平,差异有统计学意义(t=69.050、23.670、36.330,P<0.001);②开展临床手术前,VAS评分无区别性,差异无统计学意义(t=0.130,P=0.900);传统开放手术治疗、经皮椎间孔镜手术治疗1、2 d后,研究组较对照组有更低显示,差异有统计学意义(t=5.170、9.440,P<0.001);③关于总有效率,研究组腰椎管狭窄症患者(95.56%)vs对照组腰椎管狭窄症患者(86.67%),数据高,优势明显,差异有统计学意义(χ^(2)=4.390,P=0.040)。结论腰椎管狭窄症患者临床治疗期间,在手术用时、住院用时缩短,减少术中出血量,缓解疼痛反应,改善其他不良症状,取经皮椎间孔镜手术联用,效果确切。

Objective After a comprehensive analysis of the medical records of patients with lumbar spinal stenosis,to explore the clinical results of percutaneous endoscopic lumbar discectomy(PELD)during the treatment period.Methods From February 2017 to March 2021,180 patients with lumbar spinal stenosis admitted the hospital were selected.According to the random number table method,they were divided into a control group and a study group with 90 cases each,and two groups of different surgical interventions were given:traditional open surgery(control group),percutaneous foraminal surgery(study group),to compare the final curative effect of patients with lumbar spinal stenosis,including:surgical indicators,pain visual analog score VAS,and total effective rate.Results 1.Compared with the indexes of intraoperative blood loss,time spent in surgery and time spent in hospital,the patients with lumbar spinal stenosis in the study group had a lower level,the difference was statistically significant(t=69.050,23.670,36.330,P<0.001);2.There was no statistically significant difference in VAS score before clinical operation(t=0.130,P=0.900);after 1 and 2 d of traditional open surgery and percutaneous foraminal surgery,the results of study group were lower than those of control group,the difference was statistically significant(t=5.170,9.440,P<0.001);3.Regarding the total effective rate,the patients with lumbar spinal stenosis in the study group(95.56%)vs the patients with lumbar spinal stenosis in the control group(86.67%),the data is high and the advantage is obvious,the difference was statistically significant(χ^(2)=4.390,P=0.040).Conclusion During the clinical treatment of patients with lumbar spinal stenosis,the operation time and hospitalization time are shortened,the blood loss during the operation is reduced,the pain reaction is relieved,and other adverse symptoms are improved.The combined use of percutaneous intervertebral foraminal surgery has a definite effect.