后路椎管减压突出髓核摘除术治疗椎间孔型腰椎间盘突出症的疗效及其对ODI评分和术后并发症的影响

Efficacy of intervertebral discectomy with spinal posterior decompression in the treatment of lumbar intervertebral foraminal disc protrusion and its influence on ODI score and postoperative complications

目的:探讨后路椎管减压突出髓核摘除术治疗椎间孔型腰椎间盘突出症的疗效及其对ODI评分和术后并发症的影响。方法:选取97例椎间孔型腰椎间盘突出症患者为研究对象,按照治疗方案不同分成观察组(n=49)和对照组(n=48)。观察组采用后路椎管减压突出髓核摘除术治疗;对照组采用内固定加椎间植骨融合术治疗。比较两组患者临床疗效、脊柱功能(ODI评分)、术后并发症、疼痛情况(VAS评分)及生活质量评分。结果:观察组临床疗效高于对照组,术后1周、2个月及3个月ODI评分低于对照组(P<0.05),术后并发症发生率低于对照组(P<0.05),VAS评分低于对照组(P<0.05),生活质量评分高于对照组(P<0.05)。结论:后路椎管减压突出髓核摘除术能提高椎间孔型腰椎间盘突出症患者的临床疗效,降低ODI评分,减少术后并发症,值得推广。

Objective:To study the effect of intervertebral discectomy with spinal posterior decompression in the treatment of lumbar intervertebral foraminal disc protrusion and its influence on ODI score and postoperative complications.Methods:97 patients with foraminal lumbar disc herniation were divided into the observation group(n=49,with posterior decompression and herniation nucleus pulposus removal)and the control group(n=48,with internal fixation and interbody fusion)according to different treatment schemes.The clinical efficacy,spinal function(ODI score),postoperative complications,pain(VAS score)and quality of life scores were compared between the two groups.Results:After treatment,the clinical efficacy of the observation group was higher than that of the control group,the ODI score in the observation group was lower than that in the control group 1 w,1 m and 3 m after operation(P<0.05).The postoperative complications in the observation group were lower than that in the control group(P<0.05).The VAS score in the observation group was lower than that in the control group(P<0.05).The quality of life score of patients in the observation group was higher than that in the control group(P<0.05).Conclusion:Posterior decompression and herniation of nucleus pulposus can improve the clinical efficacy of patients,reduce the ODI score of patients,and reduce postoperative complications,which is worthy of promotion.