椎间孔镜下椎板间入路选择性减压术与侧方入路选择性减压术治疗腰椎管狭窄症的效果对比

Comparison on the Efects of Selective Decompression of Interlaminar Approach and Selective Decompression of Latcral Approach Under Intervertebral Foramen in the Treatment of Lumbar Spinal Stenosis

目的比较椎间孔镜下椎板间入路选择性减压术与侧方入路选择性减压术治疗腰椎管狭窄症的临床效果。方法108例腰椎管狭窄症患者根据手术方式的不同分为研究组和对照组。研究组采用椎间孔镜下椎板间入路选择性减压术治疗,对照组采用椎间孔镜下侧方入路选择性减压术治疗。比较两组的手术指标、疼痛程度及腰椎功能。结果研究组的术中出血量少于对照组,手术时间短于对照组(P<0.05)。术后1个月,研究组的VAS评分低于对照组(P<0.05)。术后3个月,研究组的ODI评分低于对照组(P<0.05)。结论与椎间孔镜下侧方入路选择性减压术相比,椎间孔镜下椎板间入路选择性减压术治疗腰椎管狭窄症的效果更佳,可明显减少患者的术中出血量,缩短患者手术时间,减轻患者术后疼痛,改善患者腰椎功能。

Objective To compare the clinical effects of selective decompression of interlaminar approach and selective decompression of lateral approach under intervertebral foramen in the treatment of lumbar spinal stenosis.Methods 108 patients with lumbar spinal stenosis were divided into the study group and the control group according to different surgical methods.The study group was treated with selective decompression of interlaminar approach under intervertebral foramen,and the control group was treated with selective decompression of lateral approach under intervertebral foramen.The surgical indicators,pain degree and lumbar function were compared between the two groups.Results The intraoperative blood loss amount of the study group was less than that of the control group,and the operation time was shorter than that of the control group(P<0.05).At 1 month after surgery,the VAS score of the study group was lower than that of the control group(P<0.05).At 3 months after surgery,the ODI score of the study group was lower than that of the control group(P<0.05).Conclusions Compared with selective decompression of lateral approach under intervertebral foramen,selective decompression of interlaminar approach under intervertebral foramen is more effective in the treatment of lumbar spinal stenosis,which can significantly reduce the intraoperative blood loss amount,shorten the operation time,reduce postoperative pain,and improve the lumbar function of patients.