TESSYS髓核摘除术对腰椎间盘突出症术后疼痛及腰椎功能的影响

Effect of TESSYS Nucleus Pulposus Extraction on Postoperative Pain and Lumbar Function in Patients with Lumbar Disc Herniation

目的观察经皮椎间孔脊柱内镜(TESSYS)髓核摘除术对腰椎间盘突出症(LDH)患者术后疼痛及腰椎功能的影响。方法随机将医院2021年1月至2022年9月期间医院收治的LDH患者82例分为2组,各41例。对照组实施锥板开窗髓核摘除术(FLD),观察组行TESSYS髓核摘除术。观察两组手术相关指标、疼痛程度、腰椎功能、并发症。结果与对照组相比,观察组手术时间长,术中出血量少,术后卧床时间短(P<0.05);与对照组相比,观察组术后1周、4周VAS评分低(P<0.05);术后3个月两组JOA评分提高,ODI评分降低,且观察组较对照组改善更显著(P<0.05);两组术后未见并发症。结论TESSYS髓核摘除术可有效改善LDH患者术后腰椎疼痛,利于腰椎功能功能恢复,且创伤小,安全性较高。

Objective To observe the effect of percutaneous foraminal spinal endoscopy(TESSYS)on postoperative pain and lumbar function in patients with lumbar disc herniation(LDH).Methods A total of 82 LDH patients admitted to our hospital from January 2021 to September 2022 were randomly divided into 2 groups,with 41 cases in each group.Cone-plate window nucleus pulposus extraction(FLD)was performed in the control group,and TESSYS nucleus pulposus extraction was performed in the observation group.Operation related indexes,pain degree,lumbar function and complications were observed in the two groups.Results Compared with the control group,the observation group had longer operation time,less intraoperative blood loss and shorter postoperative bed time(P<0.05).Compared with the control group,VAS scores in the observation group were lower 1 and 4 weeks after surgery(P<0.05).Three months after surgery,JOA score was increased and ODI score was decreased,and the improvement in the observation group was more significant than that in the control group(P<0.05).No postoperative complications were observed in the two groups.Conclusion TESSYS nucleus pulposus extraction can effectively improve postoperative lumbar pain in LDH patients,and is beneficial to the recovery of lumbar function,with less trauma and higher safety.