经皮椎间孔镜治疗腰椎间盘突出症临床疗效分析

目的：对比分析经皮椎间孔镜和经皮切吸治疗腰椎间盘突出症的临床效果。方法整群选取2015年2月一2016年4月该院因腰椎间盘突出症需手术治疗患者128例为研究对象,按入院时间先后分为2组,设定为观察组和对照组,观察组予以经皮椎间孔镜术治疗,对照组予以经皮切吸,每组64例,比较两组治疗后术中和术后指标、VAS评分以及ODI。结果观察组术中出血量(11.7±3.6）mL少于对照组(110.6±18.9）mL,术后住院(3.2±0.9）d少于对照组(9.6±3.0）d,卧床时间(26.5±7.8）d少于对照组(95.4±20.3）d,镇痛药物使用率7.8%低于对照组50.0%,满意度96.9%高于对照组76.6%,差异有统计学意义(P<0.05）；观察组术后24 h、48 h和72 hVAS评分(3.6±0.9）分、(2.0±0.8）分和(1.3±0.5）分分别低于对照组(7.0±2.1）分、(5.5±1.7）分和(4.7±1.8）分,术后1个月ODI1(2.0±5.0）%和术后6个月ODI(5.1±1.9）%分别低于对照组(19.1±4.1）%和(13.1±3.1）%,差异具有统计学意义(P<0.05）。结论经皮椎间孔镜治疗腰椎间盘突出症临床效果较好,术中术后指标更有优势,适合临床推广应用。

Percutaneous Transforaminal Mirror Clinical Observation of Treatment of Lumbar Disc Herniation

Objective Percutaneous transforaminal mirror Percutaneous aspiration and clinical effect of lumbar disc hernia-tion were compared and analyzed.Methods Group selection because of the need for surgical treatment of lumbar disc herni-ation in our hospital 128 cases of patients, in Febrory 2015 to Apirl 2016 according to the chronological order of admission divided into two groups, each of six cases, observation group received percutaneous transforaminal Arthroscopy treatment, the control group received percutaneous absorption of two group therapy after surgery and postoperative index, VAS and O-DI scores were compared. Results Observation group blood loss was (11.7 ± 3.6)mL ,(110.6 ± 18.9)mL less than the con-trol group, and postoperative hospital stay (3.2 ± 0.9)d shorter than the control group(9.6 ± 3.0)d, and bed time than con-trols (26.5 ± 7.8)d group, (95.4 ± 20.3)d short, analgesic usage and 7.8% lower than 50.0% in the control group, 76.6%, and satisfaction high 96.9%compared with the control group,all the difference was statistically significant (P<0.05);Obser-vation group after 24 h and 48 h and 72 h of the VAS score was(3.6 ± 0.9) points,(2.0 ± 0.8) points and(1.3 ± 0.5) points compared with the control group (7.0 ± 2.1) points, (5.5 ± 1.7) points and (4.7 ± 1.8) points less, intraoperative after a month's ODI (12.0 ± 5.0)%and 6 months after the ODI (5.1 ± 1.9)%less than the control group (19.1 ± 4.1)%and (13.1 ± 3.1)%,all the difference was statistically significant(P<0.05).Conclusion Mirror percutaneous transforaminal lumbar disc herniation good clinical results, intraoperative and postoperative indicators advantage, suitable for clinical application.