脊柱微创手术治疗腰椎间盘突出症患者的临床疗效及对并发症发生率的影响

Clinical efficacy of minimally invasive spinal surgery in the treatment of patients with lumbar disc herniation and its effect on the incidence of complications

目的探讨脊柱微创手术治疗腰椎间盘突出症患者的临床疗效及对并发症发生率的影响。方法选取2019年3月至2021年3月萍乡市中医院收治的88例腰椎间盘突出症患者作为研究对象,根据不同手术方法分为参照组与研究组,每组44例。参照组接受传统开放手术治疗,研究组接受脊椎微创手术治疗,比较两组围手术期指标、并发症发生情况、临床疗效及手术后疼痛评分、腰椎功能。结果研究组术中出血量少于对照组,手术时间、切口长度、卧床时间及住院时间均短于参照组,差异有统计学意义(P<0.05)。研究组并发症发生率为4.54%,低于参照组的22.73%,差异有统计学意义(P<0.05)。研究组治疗总有效率为97.73%,高于参照组的81.82%,差异有统计学意义(P<0.05)。术后,两组视觉模拟评分法(visualanaloguescale,VAS)、腰椎功能障碍指数(ODI)评分均低于术前,日本骨科协会评估治疗(JOA)评分均高于术前,且研究组VAS、ODI评分低于参照组,JOA评分高于参照组,差异有统计学意义(P<0.05)。结论脊椎微创手术治腰椎间盘突出症患者疗效显著,且患者创伤长度较大,并发症较少,疼痛轻,术后恢复快,值得临床推广应用。

Objective To investigate the clinical efficacy of minimally invasive spinal surgery in the treatment of patients with lumbar disc herni-ation and its effect on the incidence of complications.Methods 88 patients with lumbar disc herniation admitted to Pingxiang Traditional Chinese Medicine Hospital from March 2019 to March 2021 were selected as the research subjects,they were divided into the reference group and the study group according to the different surgical methods,with 44 cases in each group.The reference group received traditional open surgery,and the study group received minimally invasive spinal surgery,the perioperative indicators,complications,clinical efficacy,pain scores and lumbar function be-fore and after operation were compared between the two groups.Results The intraoperative blood loss in the study group was less than that in the reference group,and the operation time,incision length,bed time and hospitalization time were shorter than those in the reference group,the differ-ences were statistically significant(P<0.05).The incidence of complications in the study group was 4.54%,which was lower than 22.73%in the control group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the study group was 97.73%,which was higher than 81.82%in the reference group,the difference was statistically significant(P<0.05).After operation,the visual analogue scale(VAS)and oswestry disability index(ODI)scores of the two groups were lower than those before operation,and the(Japanese orthopaedic association)JOA scores were higher than those before operation,and the VAS and ODI scores in the study group were lower than those in the reference group,and the JOA score was higher than that in the reference group,the differences were statistically significant(P<0.05).Conclusion Minimally invasive spinal surgery is effective in the treatment of patients with lumbar disc herniation,and the patient has the large length of trauma,fewer complications,less pain,and faster postoperative recovery,and is worthy of clinical promotion and application.