[1]李 杰,张小军,刘 凯△.两种术式治疗腰椎间盘突出症近远期疗效对比研究*[J].陕西医学杂志,2019,(12):1646-1649.
　LI Jie,ZHANG Xiaojun,LIU Kai..Shortterm and longterm curative effect of two surgical treatments for lumbar disc herniation[J].,2019,(12):1646-1649.
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两种术式治疗腰椎间盘突出症近远期疗效对比研究*
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
期数:
2019年12期
页码:
1646-1649
栏目:
临床研究
出版日期:
2019-12-05

文章信息/Info

Title:
Shortterm and longterm curative effect of two surgical treatments for lumbar disc herniation
文章编号:
DOI:10.3969/j.issn.10007377.2019.12.018
作者:
李 杰; 张小军; 刘 凯△
陕西省铜川市人民医院骨科(铜川 727100)
Author(s):
LI Jie; ZHANG Xiaojun; LIU Kai.
Department of Orthopaedics,Tongchuan People's Hospital (Tongchuan 727100)
关键词:
单纯髓核摘除; 椎间孔镜; 腰椎间盘突出症; 近远期疗效; 对比研究
Keywords:
Key words Simple nucleus pulposus removal; Transforaminal endoscopic surgery; Lumbar disc herniation; Shortterm and longterm curative effect; Comparative study
分类号:
R6815
文献标志码:
A
摘要:
摘 要 目的：探讨单纯髓核摘除与椎间孔镜两种术式治疗腰椎间盘突出症的近远期疗效。方法：选取腰椎间盘突出症患者64例，根据手术方式分为单纯髓核摘除组(n=33)及椎间孔镜组(n=31)，比较两组近远期疗效，探讨对患者腰椎功能及术后疼痛程度的影响。结果：椎间孔镜组手术切口长度、手术时间、卧床时间显著短于单纯髓核摘除组，椎间孔镜组术中出血量显著少于单纯髓核摘除组(P＜005)；椎间孔镜组治疗优良率9677%显著高于单纯髓核摘除组7879%(P＜005)；治疗后两组血沉(ESR)、C反应蛋白(CRP)、磷酸肌酸激酶(CPK)水平均显著升高，且单纯髓核摘除组以上指标水平均显著高于椎间孔镜组(P＜005)；术后两组疼痛评分(VAS)、腰椎功能评分(ODI)均显著降低，且椎间孔镜组以上评分均显著低于单纯髓核摘除组(P＜005)。结论：单纯髓核摘除与椎间孔镜两种术式治疗腰椎间盘突出症均具有一定临床疗效，但椎间孔镜术式较单纯髓核摘除术式具有更佳的近远期疗效，对机体创伤更小，更能降低术后疼痛程度，促进腰椎功能恢复。
Abstract:
Abstract Objective：To investigate the shortterm and longterm curative effect of simple nucleus pulposus removal and transforaminal endoscopic surgery for lumbar disc herniationMethods:64 patients with lumbar disc herniation were selected as subjectsThe clinical data were retrospectively analyzedThe patients were divided into simple nucleus pulposus removal group (n=33) and the transforaminal endoscopic group (n=31) according to the surgical methodThe shortterm and longterm curative effect was compared between the two groups,and the effect on lumbar function and postoperative pain was exploredResults:The length of incision,operation time,time in bed time and intraoperative blood loss of the transforaminal endoscopic group were significantly shorter/less than the simple nucleus pulposus removal group (P＜005)The excellent and good rate of treatment in the transforaminal endoscopic group was significantly higher than that in the simple nucleus pulposus removal group (9677% vs 7879%) (P＜005)The erythrocyte sedimentation rate (ESR),Creactive protein (CRP) and phosphocreatine kinase (CPK) were significantly increased after treatment,and they were significantly higher in the simple nucleus pulposus removal groups than the transforaminal endoscopic group (P＜005)The postoperative pain scores (VAS) and lumbar function scores (ODI) of both groups were significantly decreased after treatment,and the scores of transforaminal endoscopic group were significantly lower than those in the simple nucleus pulposus removal group (P＜005)Conclusion:Both nucleus pulposus removal and transforaminal endoscopic surgery are effective in the treatment of lumbar disc herniationHowever,the shortterm and longterm curative effect of transforaminal endoscopic surgery is better than that of simple nucleus pulposus removal,and the trauma is smallerIt can better reduce the degree of postoperative pain and promote the recovery of lumbar function

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备注/Memo

备注/Memo:
*陕西省卫生和计划生育委员会科研项目 (2017KLF7201538)
更新日期/Last Update: 2019-12-19