经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症 疗效探析.docVIP

经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症 疗效探析 　　摘 要 目的：探?经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果。方法：收集2012年9月至2015年2月收治的腰椎间盘突出症患者82例，随机分为试验组和对照组各41例。试验组行经皮椎间孔镜下髓核切除术，对照组行小切口椎板间开窗髓核摘除术。术后随访12个月，观察患者视觉模拟评分（VAS）、手术时间、术中出血量、手术切口长度、Oswestry功能障碍指数评分、JOA评分、血液流变学变化及不良反应发生情况。结果：两组治疗后VAS评分和Oswestry功能障碍指数评分均低于治疗前（P0.05）。结论：经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果较好，患者VAS评分、手术时间、术中出血量、手术切口长度、Oswestry功能障碍指数评分较低，JOA评分较高，血液流变学改善较好，无其他明显不良反应，临床应用价值较高 关键词 腰椎间盘突出症；经皮椎间孔镜技术；微创手术 中图分类号：R681.5+3 文献标志码：A 文章编号：1006-1533（2017）06-0021-04 Analysis of the effect of percutaneous endoscopic discectomy in the treatment of lumbar disc herniation HUANG Yongquan， WEN Jian， CHEN Wenming， HUANG Huawei（Department of Spinal Surgery of Pingxiang Peoples Hospital， Pingxiang 337000， Jiangxi Province， China） ABSTRACT Objective： To study the effect of percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation. Methods： A total of 82 cases of lumbar disc herniation treated from August 2012 to Feb. were collected and randomly divided into an experimental group and a control group with 41 cases each. The experimental group underwent percutaneous transforaminal endoscopic discectomy and the control group was treated with small incision fenestration discectomy. After operation， the patients were followed up for 12 months. The visual analogue scale （VAS）， operation time， intraoperative blood loss， incision length， Oswestry dysfunction index score， JOA score， blood rheology and adverse reaction were observed in the patients. Results： After treatment， the VAS score and Oswestry index score of the two groups were lower than those before treatment（P0.05）. Conclusion： Percutaneous transforaminal endoscopic discectomy in the treatment of lumbar disc herniation is better. The VAS score， operative time， intraoperative blood loss， incision length and Oswestry dysfunction index score are lower， the JOA score is higher， and the hemorheology is better. There are no other obvious adverse reactions and clinical application value