经皮椎间孔镜治疗腰椎间盘突出症临床疗效剖析.docVIP

经皮椎间孔镜治疗腰椎间盘突出症临床疗效剖析 　　[摘要] 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―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（P0.05）；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（P0.05）。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。 　　[关键词] 经皮椎间孔镜；经皮切吸；腰椎间盘突出症 　　[中图分类号] R687.3 [文献标识码] A [文章编号] 1674-0742（2016）09（c）-0091-03 　　[Abstract] Objective Percutaneous transforaminal mirror Percutaneous aspiration and clinical effect of lumbar disc herniation were compared and analyzed.Methods Group selection because of the need for surgical treatment of lumbar disc herniation 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 ODI scores were compared. Results Observation group blood loss was （11.7 ± 3.6）mL ，（110.6 ± 18.9）mL less than the control group， and postoperative hospital stay （3.2 ± 0.9）d shorter than the control group（9.6 ± 3.0）d， and bed time than controls （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（P0.05）；Observation 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， intraoperati