探讨经皮脊柱内镜日间手术治疗青壮年腰椎间盘突出症的安全性及其社会意义

Exploring the Safety and Social Significance of Percutaneous Spinal Endoscopic Day Surgery for Lumbar Disc Herniation in Young Adults

目的探讨经皮脊柱内镜日间手术治疗青壮年腰椎间盘突出症的安全性及其社会意义。方法回顾性分析2019年12月-2021年12月莆田市第一医院收治的诊断为L_(4~5)节段腰椎间盘突出症青壮年并接受经皮脊柱内镜手术的60例患者的临床资料,根据住院治疗方案不同分组,其中30例接受日间手术治疗为研究组,另接受常规住院手术治疗为对照组。比较两组住院时间、药费、治疗费及住院总费用,并评价满意度,比较随访期并发症及复发率。结果研究组住院时间明显短于对照组,而药费、治疗费及住院总费用均更低,差异有统计学意义(t=31.086、12.623、15.096、8.936,P<0.001)。研究组满意度高于对照组,差异有统计学意义(χ^(2)=4.630,P<0.05)。研究组术后并发症总发生率、随访复发率分别为10.00%、3.33%,与对照组的6.67%、3.33%相比,差异无统计学意义(χ^(2)=0.517、0.000,P>0.05)。结论在青壮年L_(4~5)节段腰椎间盘突出症的患者中,实施经皮脊柱内镜日间手术治疗,安全性较高。且可以明显地缩短住院时间,减少药费、治疗费及住院总费用,满意度更高。

Objective To explore the safety and social significance of percutaneous endoscopic surgery for lumbar disc herniation in Young adult.Methods Retrospective analyed the clinical data of 60 cases of young adult who were diagnosed with L_(4~5) segment lumbar disc herniation and received percutaneous spinal endoscopic surgery in the Putian First Hospital from December 2019 to December 2021.According to different inpatient treatment schemes,they were divided into different groups.Among them,30 cases received daytime surgery as the study group,and the other received routine inpatient surgery as the control group.Compare the hospitalization time,medication costs,treatment costs,and total hospitalization costs between two groups of patients,evaluate satisfaction,and compare complications and recurrence rates during the follow-up period.Results The hospitalization time of the study group was significantly shorter than that of the control group,and the drug,treatment,and total hospitalization expenses were all lower than the control group,the difference was statistically significant(t=31.086,12.623,15.096,8.936,P<0.001).The satisfaction of the research group was higher than that of the control group,the difference was statistically significant(χ^(2)=4.630,P<0.05).The total incidence of postoperative complications and follow-up recurrence rate in the study group were 10.00%and 3.33%,respectively,and there was no statistically significant difference compared to the control group's 6.67%and 3.33%(χ^(2)=0.517,0.000,P>0.05).Conclusion Among the patients with L_(4~5) segment lumbar disc herniation in young adult,the safety of percutaneous endoscopic daytime surgery is high.And it can significantly shorten the hospitalization time,reduce medication costs,treatment costs,and total hospitalization costs,resulting in higher satisfaction.