Objective: To observe the clinical effect percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of single lumbar disc herniation. Methods: From August 2017 to June 2019, 42 patients with low lumbar...Objective: To observe the clinical effect percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of single lumbar disc herniation. Methods: From August 2017 to June 2019, 42 patients with low lumbar single segment lumbar disc herniation were treated with percutaneous transforaminal endoscopic discectomy surgery in our hospital. The operation time, incision size, bleeding volume and hospitalization time were recorded respectively. The patients were evaluated before operation, 1 month and 6 months after operation. Visual analogue scale (VAS) and assessment were used to evaluate the lumbocrural pain. The JOA score and the Oswestry disability index (ODI) were used to evaluate the lumbar function, and the modified macnab score was used to evaluate the clinical effect in the last follow-up. Results: All the 42 patients successfully completed the operation without any other operation. There were no severe complications such as dural injury and nerve root injury. The operation time was (76.98 ± 8.58) min, the incision size was (8.45 ± 1.2) mm, the bleeding volume was (20.14 ± 2.93) ml, and the hospitalization time was (4.55 ± 1.13) d. One month and six months after the operation, the visual analogue scale (VAS), the evaluation of lumbar function (Oswestry) and the disability index (ODI) were significantly improved compared with those before the operation (P Conclusion: The treatment of low lumbar but segmental lumbar disc herniation with percutaneous intervertebral foramen, with small incision, less bleeding and quick recovery, can improve the pain and dysfunction of patients.展开更多
Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were...Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.展开更多
目的探究平衡针结合颊针在腰椎间盘突出症治疗中的疗效及其是否影响生活质量。方法选取医院收治的腰椎间盘突出疾病(lumbar disc herniation,LDH)患者153例,采用随机抽样原则分为两组,对照组(77例)给予颊针疗法,治疗组(76例)在对照组基...目的探究平衡针结合颊针在腰椎间盘突出症治疗中的疗效及其是否影响生活质量。方法选取医院收治的腰椎间盘突出疾病(lumbar disc herniation,LDH)患者153例,采用随机抽样原则分为两组,对照组(77例)给予颊针疗法,治疗组(76例)在对照组基础上给予平衡针疗法,对比治疗后的临床疗效、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA评分)、世界卫生组织生存质量测定量表(World Health Organization Quality Questionnaire of Life,WHOQOL-BREF)评分及下肢放射痛评分、腰痛评分、腰背肌后伸活动范围(range of motion,ROM)、直腿抬高试验阳性率、Oswestry功能障碍指数(oswestry disability index,ODI指数)。结果经过治疗后,总有效率方面治疗组显著较高(P<0.05)。治疗前两组JOA评分差异无统计学意义(P>0.05);治疗后两组日常活动能力评分、临床体征评分、主观症状评分及JOA总分显著升高(P<0.05);且治疗组升高较明显(P<0.05)。治疗前两组WHOQOL-BREF评分差异无统计学意义(P>0.05);治疗后两组心理、生理的健康、周围环境和社会关系评分显著升高(P<0.05);并且治疗组升高较明显(P<0.05)。两组治疗前临床情况差异无统计学意义(P>0.05);治疗后两组下肢放射痛评分、腰痛评分、腰背肌后伸ROM明显升高,直腿抬高试验阳性率明显降低(P<0.05);且治疗组改善较明显(P<0.05)。两组病人治疗前的ODI指数对比,差异无统计学意义(P>0.05)。治疗后,两组ODI指数均下降,研究组分值均低于对照组,差异均有统计学意义(P<0.05)。结论平衡针联合颊针治疗LDH具有较好的临床疗效,能够提高生活质量。展开更多
文摘Objective: To observe the clinical effect percutaneous transforaminal endoscopic discectomy (PTED) in the treatment of single lumbar disc herniation. Methods: From August 2017 to June 2019, 42 patients with low lumbar single segment lumbar disc herniation were treated with percutaneous transforaminal endoscopic discectomy surgery in our hospital. The operation time, incision size, bleeding volume and hospitalization time were recorded respectively. The patients were evaluated before operation, 1 month and 6 months after operation. Visual analogue scale (VAS) and assessment were used to evaluate the lumbocrural pain. The JOA score and the Oswestry disability index (ODI) were used to evaluate the lumbar function, and the modified macnab score was used to evaluate the clinical effect in the last follow-up. Results: All the 42 patients successfully completed the operation without any other operation. There were no severe complications such as dural injury and nerve root injury. The operation time was (76.98 ± 8.58) min, the incision size was (8.45 ± 1.2) mm, the bleeding volume was (20.14 ± 2.93) ml, and the hospitalization time was (4.55 ± 1.13) d. One month and six months after the operation, the visual analogue scale (VAS), the evaluation of lumbar function (Oswestry) and the disability index (ODI) were significantly improved compared with those before the operation (P Conclusion: The treatment of low lumbar but segmental lumbar disc herniation with percutaneous intervertebral foramen, with small incision, less bleeding and quick recovery, can improve the pain and dysfunction of patients.
文摘Objective:Objective to explore the curative effect of transforaminal endoscopic surgery in the treatment of lumbar disc herniation.Methods:From October 2018 to October 2020,36 patients with lumbar disc herniation were randomly divided into group A and group B.the curative effect,pain,lumbar function and quality of life were analyzed.Results:The curative effect of group A was 94.44%,better than that of group B 61.11%,P<0.05;The visual analogue scale(VAS)of group A was lower than that of group B on 3D,5D and 7d after operation(P<0.05);The KSS of group A was higher than that of group B(P<0.05);The score of quality of life in group A was better than that in group B(P<0.05).Conclusion:Lumbar disc herniation patients underwent transforaminal endoscopic surgery,the effect is good,can improve lumbar function,relieve pain,improve the quality of life of patients.
文摘目的观察分析三维平衡正脊疗法联合麦肯基疗法治疗腰椎间盘突出症(lumbar disc herniation,LDH)的临床疗效及对突出物重吸收的影响。方法收集2022年1月—2023年6月在山东第一医科大学附属颈肩腰腿痛医院接受三维平衡正脊手法、推拿、针刺、麦肯基疗法的LDH患者的临床资料。所有患者均在治疗前和随访时接受MRI检查,两次MRI检查时间间隔≥6个月,比较3组临床疗效评价、腰腿痛视觉模拟量表(visual analog scale,VAS)、焦虑自评量表(self-rating anxiety scale,SAS)分数,以及日本骨科协会评估治疗分数(Japanese orthopaedic association Scores,JOA)和腰椎间盘突出重吸收情况。结果(1)综合治疗组的总有效率、VAS评分、JOA评分、SAS评分结果优于麦肯基疗法组,差异均有统计学意义(P<0.05);(2)综合治疗组JOA评分、SAS评分结果优于三维平衡正脊疗法组,差异均有统计学意义(P<0.05);(3)综合治疗组腰椎间盘突出物重吸收概率高于三维平衡正脊疗法组与麦肯基疗法组,但差异无统计学意义(P>0.05)。结论三维平衡正脊疗法联合麦肯基疗法对腰椎间盘突出症治疗疗效较好,且在治疗后突出物重吸收概率以及完全吸收概率高于三维平衡正脊疗法组和麦肯基疗法组。
文摘目的探究平衡针结合颊针在腰椎间盘突出症治疗中的疗效及其是否影响生活质量。方法选取医院收治的腰椎间盘突出疾病(lumbar disc herniation,LDH)患者153例,采用随机抽样原则分为两组,对照组(77例)给予颊针疗法,治疗组(76例)在对照组基础上给予平衡针疗法,对比治疗后的临床疗效、日本骨科协会评估治疗分数(Japanese Orthopaedic Association Scores,JOA评分)、世界卫生组织生存质量测定量表(World Health Organization Quality Questionnaire of Life,WHOQOL-BREF)评分及下肢放射痛评分、腰痛评分、腰背肌后伸活动范围(range of motion,ROM)、直腿抬高试验阳性率、Oswestry功能障碍指数(oswestry disability index,ODI指数)。结果经过治疗后,总有效率方面治疗组显著较高(P<0.05)。治疗前两组JOA评分差异无统计学意义(P>0.05);治疗后两组日常活动能力评分、临床体征评分、主观症状评分及JOA总分显著升高(P<0.05);且治疗组升高较明显(P<0.05)。治疗前两组WHOQOL-BREF评分差异无统计学意义(P>0.05);治疗后两组心理、生理的健康、周围环境和社会关系评分显著升高(P<0.05);并且治疗组升高较明显(P<0.05)。两组治疗前临床情况差异无统计学意义(P>0.05);治疗后两组下肢放射痛评分、腰痛评分、腰背肌后伸ROM明显升高,直腿抬高试验阳性率明显降低(P<0.05);且治疗组改善较明显(P<0.05)。两组病人治疗前的ODI指数对比,差异无统计学意义(P>0.05)。治疗后,两组ODI指数均下降,研究组分值均低于对照组,差异均有统计学意义(P<0.05)。结论平衡针联合颊针治疗LDH具有较好的临床疗效,能够提高生活质量。
