经皮椎间孔镜治疗腰椎管狭窄的效果分析

目的 分析经皮椎间孔镜对腰椎管狭窄的临床治疗效果.方法 72例腰椎管狭窄患者,采用随机数字表法分为对照组和观察组,每组36例.对照组患者行传统开放性腰椎后路锥板切开减压及椎间融合手术,观察组患者行经皮椎间孔镜手术治疗.比较两组患者治疗效果、临床指标、并发症发生情况及手术前后Oswestry功能障碍指数问卷表(ODI)、...

Analysis of the effect of percutaneous transforaminal endoscopy in the treatment of lumbar spinal stenosis

Objective To analyze the clinical effect of percutaneous transforaminal endoscopy in the treatment of lumbar spinal stenosis.Methods A total of 72 patients with lumbar spinal stenosis were divided into control group and observation group by random numerical table,with 36 cases in each group.Patients in the control group underwent traditional open posterior conical decompression and intervertebral discectomy,while patients in the observation group underwent percutaneous transforaminal endoscopic surgery.The therapeutic effect,clinical indicators,complications,Oswestry disability index(ODI)score and visual analogue scale(VAS)scores before and after surgery were compared between the two groups.Results The total effective rate of treatment in the observation group was 94.44%,which was higher than 72.22%in the control group,and the difference was statistically significant(P<0.05).The operation time(63.35±15.04)min,hospitalization time(5.23±1.48)d,and incision length(1.04±0.65)cm of the observation group were shorter than(95.64±25.85)min,(10.28±3.75)d,and(8.63±2.42)cm of the control group,and the intraoperative blood loss(20.52±5.18)ml was less than(173.15±20.41)ml of the control group.All the differences were statistically significant(P<0.05).The ODI score and 24 h VAS score of the observation group were(13.18±3.06)and(1.23±0.89)points at 3 months postoperatively,which were lower than(25.68±5.41)and(2.46±1.15)points of the control group.All the differences were statistically significant(P<0.05).The complication rates in the observation group was 5.56%,which was significantly lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).Conclusion Percutaneous transforaminal endoscopy has a significant clinical effect in the treatment of lumbar spinal stenosis,which can reduce the complication rates,and improve the patient's lumbar function.It is worthy of clinical promotion and application.