高龄腰椎椎间盘突出并神经根管狭窄采用经皮椎间孔镜治疗的短期疗效研究

The short-term efficacy of percutaneous intervertebral foramen in the treatment of senile lumbar disc herniation and nerve root canal stenosis

目的分析经皮椎间孔镜治疗高龄腰椎椎间盘突出并神经根管狭窄的短期疗效。方法选择2017年8月-2018年8月在我院接受治疗的40例腰椎椎间盘突出并神经根管狭窄高龄患者,所有患者通过皮椎间孔镜治疗,比较患者治疗前和治疗后3个月的疼痛程度(VAS评分)与腰椎功能(JOA评分),评价其临床疗效。结果40例患者临床症状均有明显的改善,直腿抬高试验为阴性;手术后3个月的VAS评分明显优于手术前,术后差异差异有统计学意义(P<0.05);手术后3个月的JOA评分明显优于手术前,术后差异差异有统计学意义(P<0.05);临床疗效评价中,痊愈12例,显效17例,有效9例,无效2例,总有效率为95.0%。结论经皮椎间孔镜治疗高龄腰椎椎间盘突出并神经根管狭窄的效果十分明显,能够消除对患者神经根的压迫,对患者造成的损伤比较小,且患者术后的疼痛明显减轻,腰椎功能显著增强,建议推广。

Objective To study the short-term effect of percutaneous transforaminal endoscopy in the treatment of elderly patients with lumbar disc herniation and nerve root canal stenosis.Methods 40 elderly patients with lumbar disc herniation and nerve root canal stenosis who were treated in our hospital from August 2017 to August 2018 were selected.All patients were treated by percutaneous transforaminal endoscopy.The pain degree(VAS score)and lumbar function(JOA score)were compared before and 3 months after treatment,and the clinical efficacy was evaluated.Results the clinical symptoms of 40 patients were significantly improved,straight leg raising test was negative;VAS score 3 months after operation was significantly better than that before operation,and the difference was statistically significant(P<0.05);JOA score 3 months after operation was significantly better than that before operation,and the difference was statistically significant(P<0.05);in the evaluation of clinical efficacy,12 cases were cured,17 cases were markedly effective,and 9 cases were effective The total effective rate was 95.0%.Conclusion the effect of percutaneous transforaminal endoscopy in the treatment of elderly patients with lumbar disc herniation and nerve root canal stenosis is very obvious,which can eliminate the pressure on the nerve root of patients,and the damage to patients is relatively small,and the postoperative pain of patients is significantly reduced,and the lumbar function is significantly enhanced,which should be promoted.