椎间孔镜微创手术治疗腰椎间盘突出症的临床效果

Clinical Effect of Minimally Invasive Surgery Through Intervertebral Foraminal Endoscope for Lumbar Disc Herniation

目的:探讨椎间孔镜微创手术治疗腰椎间盘突出症的临床效果。方法:选择盐城市新东仁医院2019年1月—2022年6月收治的60例腰椎间盘突出症患者为研究对象,以随机数表法将其分为试验组与对照组,各30例。对照组采用传统手术治疗,试验组采用椎间孔镜微创手术。比较两组临床指标、治疗期效果,比较两组治疗前后的视觉模拟评分法(VAS)评分、Oswestry功能障碍指数(ODI)评分、Fugl-Meyer下肢运动功能评分及不良反应发生情况。结果:试验组的手术切口长度短于对照组,术中出血量少于对照组,卧床时间、住院时间短于对照组,差异有统计学意义(P<0.05)。术后,试验组的VAS评分、ODI评分均低于对照组,Fugl-Meyer下肢运动功能评分高于对照组,差异有统计学意义(P<0.05)。试验组并发症总发生率为3.33%,低于对照组的30.00%;试验组的总有效率96.67%,高于对照组的76.67%,差异有统计学意义(P<0.05)。结论:在腰椎间盘突出症患者的临床治疗中,行椎间孔镜微创手术,其效果显著,能有效缩短患者术后的卧床时间、住院时间,减轻其术后的疼痛感,加快运动功能、腰部功能的恢复,减少并发症的发生。

Objective:To investigate the clinical effect of minimally invasive surgery through intervertebral foraminal endoscopy in the treatment of lumbar disc herniation.Method:A total of 60 patients with lumbar disc herniation admitted to Yancheng Xindongren Hospital from January 2019 to June 2022 were selected as the study objects,according to the random number table method,they were divided into experimental group and control group,with 30 cases in each group.The control group received traditional surgical treatment,while the experimental group received minimally invasive surgery through intervertebral foraminal endoscopy.The clinical indicators and treatment outcomes of the two groups were compared,as well as the visual analog scale(VAS)score,Oswestry dysfunction index(ODI)score,Fugl-Meyer lower limb motor function score before and after treatment,and incidence of adverse reactions between the two groups were compared.Result:The surgical incision length in the experimental group was shorter than that in the control group,and the intraoperative bleeding was less than that in the control group,the bed rest time and hospitalization time were shorter than those in the control group,and the differences were statistically significant(P<0.05).After surgery,the VAS score,ODI score in the experimental group were lower than those in the control group,and the Fugl-Meyer lower limb motor function score was higher than that in the control group,the differences were statistically significant(P<0.05).The total incidence in complications in the experimental group was 3.33%,which was lower than 30.00%in the control group,and the total effective rate in the experimental group was 96.67%,which was higher than 76.67%in the control group,the differences were statistically significant(P<0.05).Conclusion:In the clinical treatment of patients with lumbar disc herniation,minimally invasive surgery through intervertebral foraminal endoscopy has a significant effect.It can effectively shorten the patient's postoperative bed rest time and hospitalization time,reduce their postoperative pain,accelerate the recovery of motor function and lumbar function,and reduce the occurrence of complications.