经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效分析.docVIP

经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效分析 1 1 资料与方法 3 2 结果 5 3 讨论 6 文2：腰椎间盘镜下髓核摘除术治疗腰椎间盘突出症疗效分析 7 1 一般资料 8 2 手术方法 8 1 严格手术适应证 9 2 疗效及并发症分析 9 3 手术体会 10 参考文摘引言： 11 原创性声明（模板） 12 文章致谢（模板） 12 正文 经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效分析 文1：经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症疗效分析 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 People’s Hospital， Pingxiang 337000， Jiangxi Province， China） ABSTRACT Objective： To study the effect of percutaneous traforaminal 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 traforaminal 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 advee 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（）. Conclusion： Percutaneous traforaminal 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 advee reactio and clinical application value is high.　　腰椎间盘突出症对患者的生活质量造成严重影响，因此，研究有效措施、改善患者疼痛情况对提高患者的生活质量有重要意义[1]。随着微创技术的发展，经皮椎间孔镜技术成为治疗该病的有效方法[2]。该技术手术视野清晰，术后康复快，而且并发症少，临床应用优势明显。本文探讨经皮椎间孔镜下髓核摘除术治疗腰椎间盘突出症的效果。