对腰椎退行性疾病患者行单侧双通道脊柱内镜手术的疗效分析
Effect Analysis of Unilateral Double-Channel Spinal Endoscopic Surgery on Patients with Degenerative Diseases of the Lumbar Spine
王培波 1杨晓燕 2刘二红3
作者信息
- 1. 山东省平阴县中医医院骨二科,山东 济南 250400
- 2. 山东省平阴县中医医院药剂科
- 3. 山东省平阴县中医医院材料站
- 折叠
摘要
目的:探究对腰椎退行性疾病患者行单侧双通道脊柱内镜手术的疗效.方法:选择 2019年 1月—2023年 1月我院收治的150例腰椎退行性疾病患者作为研究对象,使用随机数字表法将其分为对照组和观察组,各75例.对照组采取显微内镜技术手术,观察组采取单侧双通道脊柱内镜技术手术,对比2组患者手术时间、术中出血量、术后引流量、住院时间等手术指标,术前及术后 3 d、7 d、1 个月、3个月视觉模拟疼痛量表(VAS)评分,术前及术后 1个月、3个月Oswestry功能障碍指数(ODI),日本骨科协会下腰痛疾患疗效评分(JOA)及改良Macnab治疗效果.结果:观察组手术时间及住院时间均短于对照组,术中出血量、术后引流量均少于对照组,组间差异有统计学意义(P<0.05).术前,2组患者腰背部VAS评分比较,差异无统计学意义(P>0.05);术后 3 d、7 d、1个月、3 个月,2 组VAS评分均低于术前,且观察组VAS评分低于对照组,差异有统计学意义(P<0.05);术后 3个月,2组VAS评分比较,差异无统计学意义(P>0.05).术前,2组患者ODI、JOA评分比较,组间差异无统计学意义(P>0.05);术后 1个月、3个月,2组ODI评分均低于术前,JOA评分均高于术前,且观察组ODI评分均低于对照组,JOA评分均高于对照组,差异有统计学意义(P<0.05).观察组治疗优良率高于对照组,差异无统计学意义(P>0.05).结论:对腰椎退行性疾病患者行单侧双通道脊柱内镜手术能够改善手术指标,缓解近期术后疼痛,改善腰椎功能,具有较好的治疗效果.
Abstract
Objective:To investigate the effect of unilateral double-channel spinal endoscopy on patients with degenerative diseases of the lumbar spine.Methods:150 patients with lumbar degenerative diseases in our hospital from January 2019 to January 2023 were selected as research objects,and were divided into a control group and an observation group by random number table method,with 75 cases in each group.The control group underwent microendoscopic surgery,while the observation group underwent unilateral double-channel spinal endoscopic surgery.Surgical indexes such as operation time,intraoperative blood loss,postoperative drainage volume,length of hospital stay,preoperative and postoperative visual analogue pain scale(VAS)scores at 3 d,7 d,1 month and 3 months after surgery,Oswestry Disability Index(ODI),Japanese Orthopaedic Association Low Back Pain Disorder Efficacy Score(JOA)and modified Macnab treatment effect before and 1 and 3 months after suigery were compared between the two groups.Results:The operation time and hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood loss and postoperative drainage volume in the observation group were lower than those in the control group,with statistical significance(P<0.05).Before surgery,there was no statistically significant difference in lumbar and back VAS scores between the 2 groups(P>0.05).At 3,7,1 month and 3 months after surgery,the VAS scores of the 2 groups were lower than those before nursing care,and the VAS scores of the observation group were lower than those of the control group,with statistical significance(P<0.05).Three months after surgery,there was no significant difference in VAS scores between the two groups(P>0.05).Before surgery,ODI and JOA scores of the 2 groups showed no statistical significance(P>0.05);1 month and 3 months after surgery,ODI scores of the 2 groups were lower than before care,and JOA scores were higher than before care,and ODI scores of the observation group were lower than control group,and JOA scores were higher than control group,with statistical significance(P<0.05).The rate of excellent and good treatment in observation group was higher than that in control group,and the difference was not statistically significant(P>0.05).Conclusion:Unilateral dual-channel spinal endoscopy for patients with degenerative diseases of the lumbar spine can improve surgical indicators,relieve recent postoperative pain,improve the function of the lumbar spine,and has better therapeutic effect.
关键词
腰椎退行性疾病/单侧双通道脊柱内镜技术/显微镜下减压术/ODI/JOAKey words
Lumbar degenerative diseases/Unilateral two-channel spinal endoscopy/Decompression under microscope/ODI/JOA引用本文复制引用
基金项目
济南市卫生健康委员会科技计划项目(2021-1-40)
出版年
2024
国家科技期刊平台
NSTL
万方数据