经皮后路椎间孔镜微创技术治疗神经根型颈椎病的临床效果

Clinical effect of minimally invasive percutaneous posterior intervertebral foramen endoscopy in the treatment of cervical spondylotic radiculopathy

目的 探讨经皮后路椎间孔镜微创技术治疗神经根型颈椎病的临床效果。方法 选取2020年1月至2021年3月上饶市人民医院收治的60例神经根型颈椎病患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各30例。对照组采用颈椎前路椎间盘切除内固定手术治疗,观察组采用经皮后路椎间孔镜微创技术治疗,比较两组患者术前、术后、随访时的视觉模拟评分、颈椎功能。结果 观察组术后1、3、7 d及随访6个月时的疼痛症状评分均低于对照组,差异有统计学意义(P<0.05);观察组术后7 d与随访1、3、6个月时的颈椎功能评分均高于对照组,差异有统计学意义(P<0.05)。结论 神经根型颈椎病确诊后将经皮后路椎间孔镜微创技术作为首选治疗方案,可有效改善疼痛症状、颈椎功能,整体手术效果更好,更具临床推广价值。

Objective To explore the clinical effect of minimally invasive technique of percutaneous posterior intervertebral foramen endoscope in the treatment of cervical spondylotic radiculopathy. Methods From January 2020 to March 2021, a total of 60 patients with cervical spondylotic radiculopathy treated in Shangrao People’s Hospital were selected as the research objects, and they were divided into the control group and the observation group according to random number table method, with 30 cases in each group. The control group was treated with anterior cervical discectomy and internal fixation,while the observation group was treated with minimally invasive technique of percutaneous posterior intervertebral foramen.Visual analogue scores and cervical spine function were compared between the two groups before and after surgery and during follow-up. Results The pain symptom scores of the observation group were lower than those of the control group 1, 3,7 days after surgery and 6 months after follow-up, and the differences were statistically significant(P<0.05). The cervical spine function scores of the observation group were higher than those of the control group 7 days after surgery and 1, 3 and 6months after follow-up, with statistically significant differences(P<0.05). Conclusion After the diagnosis of radiculopathy of cervical spondylopathy, the minimally invasive technique of percutaneous posterior foraminal lens is regarded as the preferred treatment, which can effectively improve the pain symptoms and cervical function, and the overall surgical effect is better, with more clinical promotion value.