【摘要】 目的将经皮椎间孔镜用于腰椎间盘突出症治疗中,对其应用效果进行研究。方法对我院收治的50例腰椎间盘突出症患者分组研究,根据手术方式将其分成甲组(n=25)与乙组(n=25),乙组行传统开放手术,甲组行经皮椎间孔镜治疗,对两组手术结果进行研究。结果甲组切口长度、卧床时间、住院时间与乙组相比,相对更短,甲组术中出血量与乙组相比,明显更少(P<0.05);两组治疗前VAS评分差异不明显(P>0.05),甲组术后1d、术后3d、术后1周VAS评分与乙组相比,相对更低(P<0.05);两组术前功能障碍指数相比,差异不明显(P>0.05),甲组术后1个月、3个月、6个月不同时段功能障碍指数与乙组相比,均明显更低(P<0.05)。结论经皮椎间孔镜用于腰椎间盘突出症治疗中疗效确切,可减轻患者疼痛症状,改善腰椎间盘功能,缩短住院时间,值得临床应用。更多还原

【Abstract】 Objective To study the effect of percutaneous transforaminal lumbar disc herniation in the treatment of lumbar disc herniation. Methods 50 patients with lumbar disc herniation admitted to our hospital were divided into group A(n=25) and group B(n=25) according to the surgical method. Group B performed traditional open surgery and group A performed percutaneous Intervertebral foramen treatment, the two groups of surgical results were studied. Results The length of incision, bed rest, and length of hospital stay in group A were relatively shorter than those in group B. The amount of bleeding in group A was significantly lower than that in group B(P<0.05). The difference in VAS score before treatment between the two groups, not significant(P>0.05). The VAS scores of group A were lower than those of group B at 1 day, 3 days after surgery, and 1 week after surgery(P<0.05). Compared with preoperative dysfunction index The difference was not obvious(P>0.05). The dysfunction index of group A was significantly lower than that of group B at 1 month, 3 months and 6 months after operation(P<0.05). Conclusion Percutaneous transforaminal fluoroscopy is effective in the treatment of lumbar disc herniation. It can alleviate the pain symptoms, improve lumbar disc function and shorten the length of hospital stay. It is worthy of clinical application.更多还原