【摘要】 目的 探究经皮骨水泥椎间盘成形术（percutaneous cement discoplasty, PCD）在老年性椎间盘突出症中的治疗效果及对预后功能的改善情况。方法 回顾性选取2020年1月—2023年12月包头市第三医院收治的100例手术治疗老年性椎间盘突出症患者的临床资料，按照治疗术式不同将患者分为两组。PCD组（n=31）采用PCD，腰椎间盘切除术（micro endoscopic discotomy, MED）组（n=69）采用后路MED。比较两组手术指标、疼痛指标及功能障碍指数（Oswestry Disability Index, ODI）评分。结果两组术中出血量比较，差异无统计学意义（P>0.05）。PCD组手术用时、术后住院时间均短于MED组，差异有统计学意义（P均<0.05）。两组术后1个月视觉模拟评分法（Visual Analogue Scale, VAS）比较，差异无统计学意义（P>0.05）;PCD组术后2个月、术后3个月的VAS评分均低于MED组，差异有统计学意义（P均<0.05）。两组术后7 d的ODI评分比较，差异无统计学意义（P>0.05）;PCD组术后1个月、术后3个月的ODI评分分别为（33.17±2.93）分、（28.09±1.91）分，均低于MED组的（35.17±3.26）分、（31.17±2.60）分，差异有统计学意义（t=2.925、5.911,P均<0.05）。结论 采用PCD治疗老年性椎间盘突出症，疗效显著，术后疼痛感较轻，可早期改善腰椎功能障碍，预后良好。更多还原

【Abstract】 Objective To explore the therapeutic effect of percutaneous cement discoplasty(PCD) in the treatment of senile intervertebral disc herniation and the improvement of the prognostic function. Methods The clinical data of 100 patients with senile intervertebral disc herniation who underwent surgical treatment in the Baotou Third Hospital from January 2020 to December 2023 were retrospectively selected. The patients were divided into two groups according to different treatment methods. PCD group(n=31) was treated with PCD, and micro endoscopic discotomy(MED) group(n=69) was treated with posterior MED. The surgical indicators, pain indicators and Oswestry Disability Index(ODI) scores were compared between the two groups. Results There was no significant difference in intraoperative blood loss between the two groups(P>0.05). The operation time and postoperative hospital stay in PCD group were shorter than those in MED group, and the differences were statistically significant(both P<0.05). There was no significant difference in Visual Analogue Scale(VAS) between the two groups at 1 month after operation(P>0.05). The VAS scores of the PCD group at 2 months and 3 months after operation were lower than those of the MED group, and the differences were statistically significant(both P<0.05). There was no significant difference in ODI score between the two groups at 7 days after operation(P>0.05). The ODI scores of the PCD group at 1 month and 3 months after operation were(33.17±2.93) points and(28.09±1.91) points, which were lower than(35.17±3.26) points and(31.17±2.60) points of the MED group, and the differences were statistically significant(t=2.925, 5.911, both P<0.05). Conclusion PCD is effective in the treatment of senile intervertebral disc herniation, with mild postoperative pain, early improvement of lumbar dysfunction and good prognosis.更多还原