椎间孔镜BEIS技术治疗腰椎管狭窄症早期疗效研究

目的:探讨椎间孔镜BEIS技术治疗腰椎管狭窄症的临床效果.方法:选取2014年1月至2016年5月80例腰椎管狭窄症患者进行研究,采用随机数字表法分为微创组(椎间孔镜BEIS技术)和传统组(传统手术方法)各40例,对比两组患者的手术时间、出血量、住院时间,术后疼痛、ODI功能评分.结果:微创组的手术时间、出血量、住院时间均低于传统组,差异具有统计学意义(P<0.05);术后1周、术后1个月、3个月,微创组的VAS、ODI评分与传统组差异不具有统计学意义(P>0.05),两组患者的VAS、ODI评分与术前比较均显著的降低(P<0.05).结论:椎间孔镜BEIS技术治疗腰椎管狭窄症具有创伤小、恢复快的优势,手术效果与传统手术相当.

Study on Transforaminal Endoscopic BEIS Technique for the Treatment of Lumbar Foraminal Stenosis early Curative Effect

Objective:To study the clinical effect of spinal canal stenosis with transforaminal endoscopic technique in the treatment of lumbar BEIS. Methods:80 cases of lumbar foraminal stenosis patients admitted in our hospital from January 2014 to May 2016 were randomly divided into minimally invasive group ( transfo-raminal endoscopic BEIS) and conventional group ( traditional surgery) in 40 cases, compared two groups of patients with operation time, blood loss, hospital stay, pain, ODI function postoperative score. Results: The operation time, minimally invasive group bleeding volume and hospitalization time were lower than the tradi-tional group, the difference was statistically significant ( P<0.05);1 weeks after surgery, after 1 months, 3 months, minimally invasive group VAS, ODI scores and the traditional group was not statistically significant (P>0.05), two groups of patients, VAS compared with the preoperative ODI score were significantly de-creased ( P<0.05) . Conclusion:Transforaminal endoscopic BEIS technique in the treatment of lumbar spinal stenosis has less trauma, quicker recovery advantages. And the surgical effect is equivalent to traditional sur-gery.